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WITH  WHICH  IS  INCORPORATED 
EDITED  BY  MRS  BEDFORD  FENWICK 


No.  1,579. 


SATURDAY,   JULY   6,    1918. 


Vol.    LXI 


EDITORIAL. 


A     CALL    TO     ARMS. 

The  great  Procession  of  Homage  of 
Women  War  Workers  received  by  the  King 
and  Queen  in  the  quadrangle  of  Buckingham 
Palace  on  Saturday  last,  when  an  address 
of  congratulation  upon  their  Silver  Wedding 
was  presented,  was  a  magnificent  success. 
Princess  Mary  was  present  in  her  uniform 
of  Commandant-in-Chief  of  the  V.A.D.,  and 
V.A.D.  workers  took  precedence  of  all 
other  branches  of  women's  work,  including 
the  Trained  Nurses  of  the  Metropolitan 
Asylums  Board  led  by  Miss  Ambler-Jones. 
The  King's  Reply  to  the  Address,  delivered 
in  a  resonant  voice,  was  distinctly  heard  by 
some  thousands  of  people  present,  and  His 
Majesty  spoke  most  sympathetically  and 
appreciatively  of  the  part  played  by  women 
in  the  great  war. 

"  The  Queen  and  I,"  said  the  King,  "  are 
touched  by  the  thought  that  the  first  ex- 
pression of  loyalty  and  devotion  on  the 
occasion  of  our  silver  wedding  should  come 
from  this  representative  body  of  women 
who,  by  their  services,  have  assisted  the 
State  in  the  full  mobilization  of  its  man 
power.  In  our  visits  to  various  centres  we 
have  had  opportunities  of  seeing  and  appre- 
ciating the  great  part  which  the  women  of 
our  land  are  taking  in  all  branches  of  war 
service,  and  everywhere  we  have  been  filled 
with  admiration  at  their  achievements,  an 
admiration  which  I  believe  to  be  shared  by 
the  whole  nation. 

"  When  the  history  of  our  country's  share 
in  the  War  is  written  no  chapter  will  be 
more  remarkable  than  that  relating  to  the 
range  and  extent  of  women's  participation. 
This  service  has  been  rendered  only  at  the 
cost  of  much  self-sacrifice  and  endurance." 

Referring  to  nurses  and  V.A.D.  workers 
His  Majesty  said,  "They  have  often  faced 
cheerfully   and    courageously    great    risks, 


both  at  home  and  overseas,  in  carrying  on 
their  work,  and  the  Women's  Army  has  its 
own  Roll  of  Honour  of  those  who  have  lost 
their  lives  in  the  service  of  their  country. 
Of  all  these  we  think  to-day  with  reverent 
pride." 

There  should  not  be  to-day  an  idle  woman 
In  the  three  kingdoms.  All  able-bodied  women 
between  the  ages  of  eighteen  and  forty,  not 
otherwise  employed,  should  enrol  them- 
selves as  full-time  workers  in  one  of  the 
great  organizations  of  those  who  are  pre- 
pared to  make  every  sacrifice  in  order  to 
assist  their  country  at  this  supreme  crisis  in 
its  history. 


AN     IMPORTANT     DEPARTURE. 

At  the  request  of  the  Council  of  the 
Royal  British  Nurses'  Association  we  shall 
henceforth  publish  fortnightly  a  Special 
Supplement,  which  will  take  the  place  of  its 
official  organ,  the  Nurses'  Journal. 

As  one  of  the  founders  of  the  Association 
we  are  in  full  sympathy  with  the  policy  of 
the  Hon.  Officers  for  professional  consolida- 
tion and  for  the  protection  of  the  interests 
of  the  thoroughly  trained  nurse,  with  which 
are  interwoven  those  of  the  public. 

Owing  largely  to  the  glorification  of  the 
semi-trained  war  worker  by  the  Nurses' 
Department  in  the  Red  Cross  Office,  com- 
petition with  the  certificated  nurse  has 
already  become  a  serious  menace  to  our 
professional  ideals. 

By  a  new  Army  Order  Queen  Alexandra's 
Imperial  Military  Nursing  Service  will  be 
reserved  for  V.A.D.s  who  conform  to  a 
term  of  general  training,  and  private  nurses 
must  recognize  the  coming  competition  with 
semi-trained  women  of  social  influence 
which  may  deprive  them  of  their  livelihood 
after  the  war. 

The  nurses'  organizations  which  are 
affiliated     to    the    Royal    British    Nurses' 


Ebe  »rttl0b  3ournal  of  "Wurelng. 


July  6,   1918 


Association  are  prepared  to  support  its 
work  for  the  profession  whole  heartedly, 
but  every  individual  nurse  should  do  so 
individually.  We  invite  nurses  to  fill  in 
and  send  to  the  Secretary  of  the  Association 
the  application  form  which  appears  on  the 
back  cover  of  this  issue. 


OUR    PRIZE    COMPETITION. 


WHAT  IS  A  PARASITE  ?  WHAT  EXTERNAL  PARASITES 
ATTACK  MAN.  DESCRIBE  IN  DETAIL  THE  TREAT- 
MENT AND  MANAGEMENT  OP  A  CASE  OF  SCABIES, 
WITH  SPECIAL  REFERENCE  TO  THE  PREVENTION 
OF    THE    DISEASE. 

We  have  pleasure  in  awarding  the  prize  thi^5 
week  to  Miss  Catherine  Wrig'ht,  Dryden  Road, 
Bush  Hill  Park,  Enfield. 

PRIZE     PAPER. 

A  parasite  is  a  living  organism ;  it  may  be 
of  animal  or  vegetable  origin ;  it  derives  its 
existence  from  feeding  on  another  living 
organism.  Choosing  for  its  environment  pre- 
ferably "man,"  it  breeds  prolifically ;  the 
power  of  movement  is  constant  and  sustained. 
Parasites  move  together  in  large  numbers ; 
surviving  best  in  crowded  and  unwholesome 
atmospheres,  they  create  a  serious  condition, 
which  learned  bacteriologists  have  proved  by 
unquestionable  scientific  research  to  cause 
epidemic  diseases,  resulting  in  a  very  high 
mortality  amongst  human  beings. 

The  parasites  which  most  commonly  attack 
man  are  the  "louse"  family,  either  as 
"  pediculi  capitas,"  those  attacking  the  scalp, 
or  "  pediculi  corporis,"  those  attacking  the 
body,  and  the  "pediculi  pubis";  the  latter 
form  is  rare. 

The  former  pediculi  hatch  their  nits,  or  eggs, 
which  adhere  to  the  hair,  cause  great  irrita- 
tion ;  the  skin  becomes  abrased  by  scratching, 
crusts  form,  the  glands  of  the  neck  become 
infected ;  the  victim  thus  becomes  a  source  of 
infection,  and  this  condition  is  found,  in 
England,  principally  amongst  school  children. 

The  procedure  of  the  "  pediculi  corporis  "  is 
the  same,  the  body  lice  causing  indescribable 
discomfort,  and  causing  the  same  degree  of 
danger  by  infection.  The  pediculi  pubis  are 
found  in  the  eyebrows,  axilla,  or  pubis,  and 
necessitate  medical  treatment.  The  larvae  of 
these  parasites  are  a  source  of  great  danger, 
and  food  for  human  consumption  must  receive 
special  protection  and  scrupulous  hygienic 
precautions  to  avoid  contamination. 

There  are  two  vegetable  parasites  which 
attack    human   beings.      Children   of   foreign 


origin  principally  have  the  affection  of 
"  favus."  It  is  found  in  the  form  of  a  fungus 
in  the  head,  yellow  incrustations  of  a  cup-like 
shape  form ;  it  is  treated  medically,  often  in 
the  X-ray  department  of  the  London  hospitals, 
and  is  highly;  infectious  unless  isolated. 

The  second  vegetable  parasite  is  the  fungus 
of  ringworm,  attacking  the  scalp  and  the  body. 
Both  should  receive  medical  attention,  which 
will  lessen  their  infectivity. 

"  Scabies,"  or  "  itch,"  is  due  to  a  parasitic 
insect,  "  acarus  scabies,"  a  minute  object, 
invisible  to  the  naked  eye;  the  female  acarus 
forms  a  burrow  in  the  skin.  Here  it  lays  its 
eggs,  and  this  is  a  source  of  incessant  irrita- 
tion ;  the  hands,  between  the  fingers,  af"e 
affected,  spreading  to  the  Inside  of  the  wrist ; 
other  j>arts  of  the  body  become  infected.  The 
irritation  is  intense,  especially  at  night,  result- 
ing in  a  very  short  time  In  a  highly  nervous 
condition  through  restlessness  and  sleepless- 
ness. School  children  are  very  open  to  the 
infection,  which  may  spread  through  the  whole 
family. 

The  hands  of  school  children  should  be  fre- 
quently examined,  because  an  early  diagnosis 
and  exclusion  from  school  may  be  of  practical 
use  In  preventing  the  spread  of  the  disease. 

A  daily  bath  of  soap  and  water,  and  an 
application  of  sulphur  ointment,  repeated  for 
two  or  three  days,  relieves  this  condition.  The 
clothes  worn  should  be  steej>ed  in  boiling 
water,  and  the  child  should  have  its  own  toilet 
requisites  and  sleep  by  itself.  Exclusion  from 
school  Is  an  Important  point. 

This  disease  of  scabies  is  prolific  In  the  East 
End  of  London,  and  is  intensified  in  crowded 
areas.  The  London  County  Council  have 
arrangements  for  municipal  baths,  where  a 
routine  treatment  of  medicated  baths  is  super- 
vised by  the  trained  nurses  on  the  school  staff. 
The  children  are  kept  under  careful  supervision 
until  all  Infection  is  over  and  every  symptom 
of  the  disease  has  disappeared.  All  clothing 
is  specially  sterilized.  Mercurial  ointment  is  a 
valuable  asset  in  curing  the  condition  of 
impetigo,  which  may  follow  the  scabies  condi- 
tion, and  good  food  and  hygienic  conditions 
will  act  as  remedial  and  preventive  measures 
for  further  or  future  infection. 

HONOURABLR    MENTION. 

The  following  competitors  receive  honourable 
mention  : — Miss  M.  M.  Bielbv,  Miss  A.  M. 
Burns,  Mrs.  E.  E.  Farthing,  Miss  J.  Robinson. 

OURSTION   FOR   NEXT    WEEK. 

What  points  would  you  endeavour  to  Impress 
upon  a  mother  as  of  primary  Importance  for  the 
rearing  of  a  h^lthy  baby? 


July  6,   1 91 8 


^be  Britisb  Journal  of  IWursiuQ. 


THE    ROYAL    RED    CROSS. 


On  Saturday,  June  29th,  the  following  ladies 
were  awarded  the  RR.C.  by  the  King  at  Buck- 
ingham Palace.  Miss  Ehzabeth  Humphries,  who 
received  the  Military  Medal,  received  also  a  great 
ovation  from  the  public  : — 

The  Royal  Red  Cross. 
First  Class. 

Sister    Ellen    Baldrey,   Queen    Alexandra's    Imperial 
Military   Nursing  Service,    Matron   Helen   Palin,   Terri- 
torial Force  Nursing  Service,  and  Matron  Jessie  Smales, 
Territorial  Force  Nursing  Service. 
Second  Class. 

Territorial  Force  Nursing  Service. — Sister  Elsie 
Bennett. 

British  Red  Cross  Society. — Matron  Annie  Peel.  '. 

Voluntary  Aid  Detachment. — Miss  Emma  Coleman, 
Miss  Margaret  Cranage,  and  Miss  Gertrude  Miller. 

The  Military   Medal. 

Matron  Elizabeth  Humphries,  Territorial  Force 
Nursing  Service. 

The  koyal  Red  Cross. 

The  King  invested  the  following  ladies  with  the 
Royal  Red  Cross  at  Buckingham  Palace  on 
Wednesday,  June  26th  : — 

First  Class. 

Matron    Kathleen    Prendergast,    Queen    Alexandra's 
Imperial  Military  Nursing  Service  Reserve. 
Second  Class. 

Queen  Alexandra's  Imperial  Military  Nursing  Service. 
— Sister  Sadie  Tyler. 

Queen  Alexandra's  Imperial  Military  Nursing  Service 
Reserve. — Sister  Stella  Burrell,  and  Sister  Dora 
Shanklik-Smith. 

Territorial  Force  Nursing  Service. — Sister  Martha 
Morrison. 

British   Red   Cross  Society. — Matron   Kate  Moore. 

Voluntary  Aid  Detachment. — Miss  Clare  Daglish. 

Queen  Alexandra  received  at  Marlborough  House 
the  Members  of  the  Military  and  Civil  Nursing 
Services  who  have  been  awarded  the  Royal  Red 
Cross,  subsequent  to  the  Investitures  at  Bucking- 
ham Palace  this  morning. 

The   Royal  Red  Cross. 

The  King  has  been  .pleased  to  award  the  Royal 
Red  Cross,  2nd  class,  to  the  undermentioned  ladies, 
in  recognition  of  their  valuable  nursing  services  in 
connection  with  the  war  : — 

Second  Class. 

Abell,  Miss  F.  M.,  Matron,  Henley  Park,  and  Sister- 
in-Charge,  Daneshill  Mil.  Hospl.,  Surrey;  Adams,  Miss 
D.  P.,  Sister  (Lady  Supt.),  V.A.D.  Hospl.,  Cranbrook, 
Kent;  Allhusen,  Miss  E.,  Nurse,  V.A.  Hospl.,  Rhode 
Hill,  Uplyme  ;  All  wood.  Miss  M.  J.,  Nursing  Sister, 
Can.  Nursing  Service,  No.  12  Can.  Gen.  Hospl.,  Bram- 
shott,  Hants;  Anderson,  Miss  E.,  Sister,  V.A.  Hospital, 
Torquay;  Anderson,  Miss  E.  R.,  Charge  Nurse, 
Waverlev  Abbey,  Farnham  ;  Anderson,  Miss  I.,  Sister, 
Q.A.I. M.N. S.R.,  Barnet  War  Hospl.,  Herts;  Aspinall, 
Miss  E.,  Sister,  Liverpool  Stanley  Hospl.,  Stanley  Road, 
Liverpool. 

Bagnall-Oakeley,  Miss  B.,  Lady  Supt.,  Priory  Hosp., 
Cheltenham;  Baguley,  Miss  F.,  Matron,  St.  John  Aux. 


V.A.D.,  Southport ;  Baines,  Miss  M.  L.,  Asst.  Matron, 
Horton     War     Hosp.,     Epsom;     Bankhead,     Miss    A., 
A., 'Asst.  Matron,  Richmond,  Whitworth  and  Hardwicke 
Hospl.,    Dublin;    Barber,    Miss   E.    M.,    Sister,    Horton 
War, Hospl.,  Epsom;  Barrowcliff,  Miss  S.  E.,  Sister, 
Q.A.i.M.N.S.R.,  Mil.  Hospl.,  Bagthorpe,  frmly.  Hursley 
Camp  Mil.  Hospl.,  nr.  Winchester;  Bayfield,  Mrs.  A., 
Sister,  Hanover  Park  V.A.D.  Hospl.,  Rye  Lane,  Peck- 
bam,   S.E.    15;    Bayne,    Miss  A.    E.,    Matron,    Isolation 
Hospl.,    Southampton;    Bell,    Miss    A.    B.    H.,    Sister, 
T.F.N. S.,  2nd  Northern  Gen.  Hospl.,  Leeds;  Bell,  Miss 
M.    H.,   Asst.    Nurse,    King  George's   Hospl.,   Stamford 
Street,   London,   S.E.    i  ;  Bellvii.le,   Mrs.   G.,   Matron, 
Oarell  Hospl.,  Queen  Anne  Street,  W.  ;  Bevan,  Miss  A. 
G.,  Sister, T.F.N. S.,  5th  Lond.  Gen.  Hosp.,  St.  Thomas's, 
Lambeth,    S.E.    i  ;   Bevan,    Miss   S.    S.,    Asst.    Matron, 
Fulham    Mily.    Hospl.,    Hammersmith,    W.  ;    Bewsey, 
Miss    E.     E.,    Sister,    Q.A.I.M.N.S.R.,    Mily.     Hospl., 
Fargo,  Salisbury  Plain  ;  Bingley,  Miss  F.,  Sister,  War 
Hospl.,  Bradford;  Binns,  Miss  L.,  Lady  Supt.,  Matron, 
Royal   Infirmary,    Hull;   Birkin,   the   Hon.    M.    D.    H., 
Matron    (unpaid),    Arnot    Hill   V.A.    Hospl.,    Daybrook, 
Notts;   BiRT,   Miss  M.   C,   Matron,   Red  Cross  Hospl., 
Huntingdon  ;  Blatch,  Mrs.   K.  M.,  Matron,  Red  Cross 
Hospl.,     Kenilworth,     Warwickshire;     Blayney,     Miss 
E.  K.,  Matron,  R.  Infirmary,  Chester;  Blenkarn,  Miss 
M.,  Lady  Supt..  Cooden  V.a'.D.  Hospl..  Bexhill ;  Blott, 
Miss    M.    E.,    Nursing    Sister.    Can.    Nursing    Service, 
Granville    Can.     Spec.     Hospl.,    Buxton  ;    Boath,    Miss 
E.  M.,  Matron,  Dundee  War  Hospl.,  Dundee;  Borton, 
Miss  F.,  Matron,  Victoria  Hospl.,  Blackpool ;  Boss,  Miss 
A.,    Matron,    Masonic    Hall    V.A.D.    Hospl.,    Bromley, 
Kent;    Bottomley,    Mrs.    A.    C,    Matron    (unpaid),    St. 
John's   Ambulance,    2,    Bodorgan   Road,    Bournemouth  ; 
Boughey,   Miss  L.   M. ,   Matron,   Lady  Cooper's  Hospl. 
fur  Officers,  Hursley  Park,  Winchester  ;  Bowring,  Miss 
F.,    Nurse,    Hart    House    Hospl.,    Burnham,    Somerset; 
BowYER,  Miss  R.,  Sister,  T.F.N. S.,  2nd  Southern  Gen. 
Hospl.,     Bristol    R.     Infirmary,    Bristol;    Brace,    Miss 
C    A.  M..  Sister,  Q.A.I.M.N.S.R.,  R.  Victoria  Hospl. 
Netley  ;  Bramley,  Mrs.  M.,  Commdt.,  Dunraven  Castle 
Red    Cross    Hospl.,    Glam.  ;    Brodrick,    Miss    K.     E., 
Nursing    Sister,    Can.    Nursing    Service,    Queen's    Can. 
Mily.  Hospl.,  Beechborough  Park,  Shorncliffe  ;  Brother- 
ton,    Miss    H.,    Asst.    Matron,   T.F.N. S.,    ist   Northern 
Gen.     Hospl.,    Newcastle-on-Tyne ;    Brown,     Miss    E., 
Nurse,    Aux.    Mil.    Hospl.,    q.    Cedars    Road.    Clapham, 
S.W.  ;     Brown,     Miss    F.     E.,     Matron,    Jaw    Hospl., 
78,  Brook  Street,  London  ;  Bruce.  Miss  A.  L.,  Nursing 
Sister,    Can.    Nursing    Service,    Granville    Can.    Spec. 
Hospl.,  Buxton;  Bufford,  Miss  D.  F.,  Matron,  Ridley 
Hospl..    10,    Carlton    House  Terrace.    S.W.  ;    Burbidge, 
Miss  C,  Lady  Supt..  Standish  Hospl.,  Glos.  ;  Butler, 
Miss  G.,  Sister,  Huddersfield  War  Hospl.  ;  Buxton,  Miss 
M..     Matron.     Princess     Royal     Hospl.     for     Officers, 
4,  Percival  Terrace,  Brighton 

{To  be  continued.) 


UNIVERSITY    COLLEGE    HOSPITAL. 
TRAINING    OF    V.A.D.s. 

We  are  informed  that,  as  a  special  mark  of  their 
valuable  work  duriiig  the  present  war,  the  course 
of  training  at  University  College  Hospital  usually 
extending  over  four  years  will  be  reduced  to  three 
years  in  favour  of  V:A.D.s  who  have  served  for 
two  years  in  a  military  hospital,  and  who  are  well 
recommended  by  their  Matron. 

This  appears  a  fair  arrangement  as  a  fpuii;h 
year  is  one  of  service  and  not  training. 


Zbe  IBritisb  3ournal  of  "Wurstno. 


July  6,   1918 


NURSING    AND    THE    WAR. 


On  Saturday  in  last  week  the  Royal  Red  Cross 
awarded  to  Miss  L.  V.  Haughton,  late  Matron  of 
Guy's  Hospital,  was  presented  to  her  by  Dame 
Ethel  Becher,  G.B.E.,  with  the  King's  approval, 
in  the  little  Surrey  village  where  she  is  slowly 
recovering  from  her  very  serious  illness.  His 
Majesty  also,  through  Dame  Becher,  expressed 
great  regret  that  Miss  Haughton  was  unable  to 
attend  a  public  Investiture  owing  to  her  continued 
ill-health.  Everyone  will 
unite  in  congratulating 
Miss  Haughton  on  this 
distinction,  and  will  wish 
that  before  long  she  may 
be  restored  to  health  and 
be  able  to  fulfil  her  wish 
of  paying  a  visit  to  her 
rnany  friends  in  Ireland, 
as  she  is  still  interested 
in  their  nursing  activities. 


Miss  L.  Jolley,  R.R.C., 
until  recently  Matron  of 
the  Royal  Southern 
Hospital,  Liverpool,  and 
who  has  done  good 
service  in  France  in 
Q.A.I.M.N.S.R.,  since  the 
beginning  of  the  war, 
has  been  appointed 
Matron-in-Chief  of  the 
Air  Service.  Miss  Jolley 
is  highly  qualified,  and 
her  colleagues  will  wish 
her  well  in  this  new^and 
interesting  post.^  ' 


Sister  N.  M'Kenzie  was 
recommended  for  the 
R.R.C.  by  General 
Allenby.  She  has  been  a 
member  of  Queen  Alex- 
andra's Imperial  Nursing 
Service  (Reserve)  since 
October  1914.  Sister 
M'Kenzie  has  been  on 
service  since  August, 
1915,  and  was  mentioned 
in  General  Murray's  dis- 
patches in  June  last.  We  are  indebted  to  the 
courtesy  of  the  Editor  of  The  Scots  Pictorial, 
Glasgow,  for  permission  to  reproduce  Sister 
M'Kenzie's  portrait  and  for  the  loan  of  the  block. 
We  have  many  Scottish  readers  at  home  and 
abroad  who  are  interested  in  the  recognition  of 
the  fine  national  work  of  their  compatriots. 


they  often  are  of  men  of  all  types — should  be 
more    carefully    supervised. 

At  Marylebone  Police  Court  recently  Peggy 
Robertson,  aged  twenty-one,  was  charged  with 
permitting  a  maisonette  at  Connaught  Street, 
Hyde  Park,  to  be  used  for  improper  purposes. 

The  prisoner,  in  evidence,  said  that  the  officers 
who  had  called  at  the  maisonette  were  friends 
whose  acquaintance  she  had  made  during  the 
two  years  she  was  acting  as  a  V.A.D.  nurse 
in    Egypt    and    elsewhere. 

This  young  girl  was 
fined  ;^2o,  with  the  alter- 
native of  six  weeks' 
imprisonment ;  and  she 
was  ordered  to  pay  five 
guineas   costs. 

We  have  always  con- 
demned the  practice  of 
the  authorities  sending 
young  untrained  girls  to 
work  in  military  hos- 
pitals abroad.  We  hope 
that  both  the  War  Office 
and  the  Joint  War  Com- 
mittee will  make  it 
impossible  for  girls  of 
twenty-one  and  under 
to  be  subjected  to  the 
temptations  to  which 
Peggy  Robertson  evi- 
dently succumbed. 


5ISTER  N.   M'KENZIE.    R.R.C.   Q. A.i.M.N.S.R 


In  the  Times  recently 
Dr.  Wigram  extolled  the 
value  of  short-time  ser- 
vice in  hospital  work, 
and  said  200  members  of 
the  Marylebone  V.A.D. 
were  able  to  run  a  hos- 
pital for  soldiers  with 
only  one  trained  nurse  in 
charge  !  We  wonder 
when  this  unfortunate 
professional  was  sup- 
posed to  be  ofE  duty,  if 
she  ever  went  to  bed, 
and  who  "  ran "  the 
hospital  in  her  absence. 
Let  us  hope  there  weie 
no  "  cot "  cases  admitted. 
Anyway  medical  practitioners  do  a  vast  amount 
of  harm  in  depreciating  the  value  of  skilled  nursing 
where  our  sick  and  wounded  men  are  concerned. 
We  could  wish  that  Dr.  Wigram  was  on  duty 
night  and  day  in  charge  of  2cxD  unskilled  women 
nursing  in  and  out  of  a  hospital — perhaps  he 
might  then  appreciate  the  worry  and  disorganisa- 
tion of  such  a  system. 


Aspects  of  the  V.A.D.  Question. 

We  have  come  into  intimate  touch  with  several 

tragedies  of  late — afiecting  young  inexperienced 

V.A.D.'s — which  lead  us  to  think  that  their  free 

and  easy  and  uncontrolled  work — ^in  charge  as 


A    DAY    OF    PRAYER. 

The  King  desires  that  August  4,  the  fourth 
anniversary  of  the  war,  shall  be  observed  with 
special  solemnity  as  a  national  day  of  prayer. 


July  6,   1918 


^be  British  3ournaI  of  IRurstng. 


CARE    OF    THE    WOUNDED. 


"  France's  Day,"  in  aid  of  the  British  Committee 
of  the  French  Red  Cross,  \vill  be  celebrated  in  the 
City,  West  End,  and  Greater  London  on  Friday, 
July  I2th  Ladies  willing  to  help  should  write  to 
the  Honorary  Secretary,  "  France's  Day,"  34, 
Wilton  Place,  S.W.  i.  The  souvenirs  will  include 
models  of  the  famous  75mm.  French  gun.  The 
Lord  Mayor  is  again  acting  as  Honorary  Treasurer 
of  the  fund,  for  which  last  year  over  /2oo,ooo  was 
raised  in  the  British  Empire. 


In  connection  with  "  France's  Day,"  La  Musique 
du  Premier  Zouave,  the  leading  Zouave  band  of 
the  French  Army  will  \asit  London,  being  met 
by  Lieut.-General  Sir  Francis  Lloyd,  and  played 
through  the  streets  by  British  bands.  The  eighty 
Zouaves,  fresh  from  the  battle  front,  Avill,  on  July 
1 2th,  play  in  the  Cit}^  and  West-End. 


The  Order  of  St.  John  of  Jerusalem  in  England 
has  sent  out  a  touching  appeal  for  financial 
support  to  re-establish  the  fine  Brigade  Hospital 
splendidly  equipped  and  maintained  by  the  Order 
at  Etaples  since  1915,  and  which  was  barbarously 
bombed  and  much  of  it  smashed  to  atoms  by  the 
Germans,  when  the  casualties  were  sixty-four,  in- 
cluding sixteen  killed — a  colossal  crime,  for  which 
these  murdereis  are  quite  impenitent.  The 
circular,  approved  by  H.R.H.  the  Grand  Prior,  the 
Dcike  of  Connaught,  gives  illustrations  of  this 
beautiful  hut  hospital  before  and  after  the  bom- 
bardment— the  formei  showing  its  excellent 
formation  in  such  perfect  surroundings — where 
the  best  of  care  and  comfort  was  at  the  disposal  of 
our  sick  and  wounded  men  ;  the  latter  showing  the 
cruel  devastation  wrought  by  outrage  and  fire — a 
Sony  sight  indeed  ! 

The  Military  Authorities  have  ordered  the 
evacuation  of  the  hospital,  and  expressed  their 
desire,  that  it  should  be  re-erected  on  another  site 
in  France,  and  the  Council  of  the  Order  have 
decided  that  this  shall  be  done,  and  with  the  least 
possible  delay.  It  will,  however,  entail  heavy 
expenditure  to  re-equip  the  hospital  and  maintain 
the  high  standard  of  efficiency  for  which  the  St. 
John  Ambulance  Brigade  Hospital  when  at 
Etaples  was  so  widely  known.  Cheques  should  be 
sent  to  Lord  Ranfurly,  Director  of  the  Ambulance 
Department,  St.  John's  Gate,  Clerkenwell,  London, 
E.C.  I. 

The  Military  Medal. 

The  Military  Medal  has  been  awarded  to  the 
following  members  of  the  nursing  stag  of  the  St. 
John  Ambulance  Brigade  Hospital  at  Etaples. — 
Miss  C.  E.  Todd  (Matron),  Mies  M.  A.  Chittock 
(Assistant  Matron),  Miss  M.  McGinnes,  Miss  M.  H. 
Ballance,  Miss  J.  Bemrose,  and  Miss  C.  Warner 
(Sisters).  When  the  Hospital  was  deliberately 
bombed  by  the  Germans,  and  a  number  of 
patients   and   members    of   the  *^staff  killed    and 


irijured,  we  may  be  sure  that  Tthe  nursing  staff 
behaved  with  heroism,  and  congratulate  Miss 
Todd,  Miss  Chittock,  and  the  Sisters  on  the 
honour  conferred  upon  them. 

War  Posters  Defaced. 

A  number  of  placards  issued  by  the  Ladies' 
Emergency  Committee  of  the  Navy  League, 
showing  a  German  Red  Cross  Nurse  wilfully  spilling 
the  water  for  which  British  prisoners  of  war, 
herded  in  an  open  truck,  are  waiting,  were  found 
one  morning  last  week  to  have  been  defaced.  An 
examination  of  several  of  the  principal  hoardings 
in  London  revealed  the  fact  that  all  the  posters 
were  mutilated  in  the  same  way.  The  nurse's  face 
was  in  each  case  obliterated — ^in  some  cases  torn 
out  and  in  others  covered  with  stamp  edging. 

The  Huns  in  our  midst  evidently  give  short 
shrift  to  posters  to  which  they  object. 


The  King  of  the  Belgians  has  conferred  the 
M6daille  de  la  Reine  Elisabeth  on  a  long  hst  of 
ladies  in  recognition  of  "  the  kind  help  and  valu- 
able assistance  personally  given  to  the  Belgian 
refugees  and  the  Belgian  soldiers  during  the  war." 


OUR    ROLL    OF    HONOUR: 

Again  we  have  to  momn  with  our  Canadian 
oolleague'5  at  the  determined  murder  on  the  high 
seas  of  fourteen  Sisters  who,  together  with  8a 
Canadian  Army  Medical  Officers,  were  on  board 
the  Canadian  hospital  snip  Llandove;y  Castle, 
deliberately  sunk  by  a  German  submarine  com- 
mander about  120  miles  from  the  Irish  coast.  Of 
the  258  souls  on  board  only  24  in  one  b^at  have 
been  saved  alive.  The  belief  is  strong  among  the 
survivors  that  of  seven  boats  launched,  all,  saving 
their  own,  were  deliberately  wrecked  by  the  fiendish 
way  in  which  the  submarine  charged  up  and  down 
among  the  wreckage,  sinking  everything  in 
sight. 

One  more  most  horrible  crime  to  add  to  the  score 
that  must  be  paid  by  these  dastardly  murderers 
before  they  are  classed  as  human  beings  by  a 
civilised  world. 

All  our  sympathy  goes  out  to  those  who  loved 
these  brave  Canadian  nurse^. 


TRUE     TALE     WITH     A     MORAL. 

Lady  Superintendent  of  Nurses  to  a  friend. 
— "  I  think  it  simply  disastrous  to  the  future 
economic  independence  of  the  Nursing  Profession 
to  have  all  this  begging  upon  their  behalf.  Much 
better  help  them  to  get  just  remuneration  for 
their  work.  " 

Clear-sighted  Friend:  "My  dear,  I  think  the 
reason  the  Nation's  Fund  for  Nurses  was  started 
by  the  hospital  officials  who  control  the  College 
was  that  Nurses  should  not  put  up  their  fees. 
Much  bettor  give  them  a  dole  and  control  the 
charity." 


Cbe  3Briti0b  3oiirnal  of  IRureing. 


July  6,   1918 


FRENCH  FLAG  NURSING  CORPS. 


Mrs.  Fenwick  entertained  the  Sisters  of  Ambu- 
lance 12/2  and  some  of  their  fellow- Sisters  to 
dinner  at  the  Holborn  Restaurant  last  Thursday, 
before  their  return  to  duty,  as  the  ambulance  is 
being  re-estabUshed.  Miss  Roberts,  R.R.C.  (Chief 
Matron,  British  Committee,  French  Red  Cross), 
Miss  Hutchinpon,  F.F.N.C,  Miss  M.  Breay,  and 
Miss  Isabel  Macdonald,  R.B.N.  A.,  were  also 
present,  and  it  was  a  very  cheery  party.  The 
unit  returned  to  France  the  following  day,  and 
were  all  most  eager  to  be  at  work  again  in  the 
war  zone. 


which  you  were  able  to  give  us  for  a  few  days. 
The  few  days  we  had  them  we  were  very  busy, 
and  I  really  don't  know  what  we  should  have 
done  without  them.  They  were  such  a  nice  well- 
trained  capable  set  of  women,  and  simply  set  to 
to  help  as  if  they  had  been  here  for  weeks.  The 
Med.  Chef,  I  think,  is  writing  to  you  also  to  thank 
you." 

That  is  as  it  should  be,  but  in  these  days  of 
uncertain  standards  of  nursing  in  military  hospi- 
tals the  help  given  is  often  far  from  efficient.  In 
her  reply.  Miss  Haswell  asked  Miss  du  Sautoy  to 
thank  her  staff  on  behalf  of  the  F.F.N.C.  Sisters, 
for  they  all  agreed  that  they  had  j  never 
worked     in    such   a  happy     atmosphere,     where 


FRENCH     FLAG     NURSINQ     CORPS    SISTERS.    AMBULANCE     12/2. 


Miss  Owens,  of  the  Registered  Nurses'  Society, 
has  joined  the  F.F.N.C.  and  has  been  posted  to 
Lisieux,  where  the  hospital  has  been  largely 
extended. 


During  the  recent  great  stress  of  work,  the 
beautiful  Hopital  B6n6vaJ  No.  4,  located  in  the 
Astoria  at  Paris,  was  full  to  overflowing,  and  some 
of  the  F.F.N.C.  Sisters  had  the  privilege  of  giving 
a  helping  hand.  Miss  Haswell  lias  since  received  the 
the  following  letter  from  Miss  C.  C.  du  Sautoy, 
the  Matron  of  the  hospital  : — 

"  Dear  Miss  Haswell, — Would  you  convey  to 
Mrs.  Bedford  Fen\vick  my  thanks,  and  that  of  the 
Sisters,  for  the  services  of  the  F.F.N.C.  Sisters 


everyone,  without  exception,  did  everything 
in  their  power  to  make  them  welcome,  and  feel 
at  home. 

British  nurses  working  in  Paris  are  showing 
splendid  nerve,  bombed  as  they  are  nearly  every 
night. 


More  Sisters  Required. 
Several  more  Sisters  have  been  requisitioned 
by  the  Service  de  Sant6 — for  work  in  France. 
Candidates,  aged  from  26  to  40,  must  hold  a 
three  years'  certificate  of  general  training,  must 
have  good  health,  and  know  some  French.  Mrs. 
Fenwick  will  see  candidates  by  appointment. 
Address,  431,  Oxford  St.,  London,  W.  i. 


July  6,    1918 


^be  Brttlsb  3ournal  of  "Wuretno. 


THE  COLOURED  WOMEN  OF  MID- 
WEST   AND    THE     RED     CROSS. 


HELPING     THE     REST    OF     THE    WORLD'S 

PEOPLE    TO     THEIR    OWN     DEARLY    WON 

LIBERTY. 

Many  and  varied  were  the  phases  of  the  gigantic 
parades  held  all  over  America  in  commemoration 
of  Uncle  Sam's  first  anniversary  of  entrance  upon 
the  world-war,  as  well  as  in  celebration  of  the 
opening  of  the  big  "  drive  "  for  the  third  Liberty 
Loan ;  none  were  more  affecting,  to  those  realising 
its  import,  than  the  march  of  the  coloured  women 
workers  of  Cincinnati  with  the  Red  Cross. 

Cincinnati  lies  on  the  Ohio,  just  across  from  the 
Kentucky   shore.      Placed   thus,    the   city  was  the 


FKEE  COLOURED  WOMEN  HELPINQ  TO  FREE  THE  WORLD. 


logical  gateway  between  American  North  and 
South  before  the  Civil  War,  and,  therefore,  the 
Mecca  of  no  end  of  fugitive  slaves.  Here  lived  the 
abolitionists  Coffin  and  Beecher,  and  here  Harriet 
Beecher  Stowe  penned  her  "  Uncle  Tom's  Cabin." 
In  fact,  here,  if  anywhere,  the  big  fight  for  the 
liberty  of  the  iblack  man  may  be.  said  to  have 
concentrated. 

In  and  about  Cincinnati  still  you  may  find  any 
number  of  men,  or  women,  who  received  freedom 
from  the  Emancipator  President.  Their  children, 
the  children  of  others,  who  fled  from  slavery,  and, 
again,  the  children  of  those,  more  fortunate,  who 
saw  the  results  of  slavery  just  across  the  Dixie  line 
here. 

Now  free  themselves,  at  the  call  to  help  other 
lands — in  fact,  to  save  all  the  world  from  auto- 
cracy— these  coloured  women  are  not  to  be 
behindhand  m  the  good  work. 

AflRliated  with  the  Red  Cross — in  fact,  now  one 
of  its  definite  units — they  have  formed  a  Soldiers' 
Comfort    Club,    originally    for    providing    various 


creature  comforts  for  the  coloured  soldiers,  but  now 
given  over  to  all  the  regular  Red  Cross  activities. 

On  Liberty  Day,  the  first  anniversary  of 
America's  taking  definite  share  in  the  stupendous 
conflict,  Cincinnati  marked  the  opening  of  the  big 
drive  for  the  Third  American  Liberty  Loan  with  one 
of  the  largest  parades  in  her  history. 

Among  others,  the  Red  Cross  workers  turned 
out,  marching  in  their  attractive  white  habits  and 
veils,  the  endless  cohorts  having  their  snowy  white- 
ness punctuated  by  the  red  caps  of  supervisors  here 
and  there. 

Boundless  applause  greeted  all  these  workers 
along  the  line  of  march ;  but  no  one  unit  received 
more  acclaim  than  the  one  hundred  and  fifty  negro 
women  of  the  Soldiers'  Comfort  Club — the  dusky 
faces  of   these    faithful    knitters    and    sewers    and 

the  makers  of 
dressings  and 

comforts  for  the 
sick  all  the 
more  picturesque, 
in  contrast  with 
their  white  attire. 
As  black  ti  oops 
are  available  from 
America  to  take 
part  in  the  war  in 
Europe,  the 
Avoman  President 
of  the  National 
Association  of 
Coloured  Gi  adu- 
ate  Nurses  offers 
2 ,000  black- 
nurses,  ready 

trained  for  ser- 
Wce  at  militciry 
hospitals  in 
Europe  and 
Ameiica. 

There      are 
in     the    AnKfican 


already 
army. 


34    black  chaplains 


THE   BRITISH   LION   GROWLS, 

The  swishing  of  the  British  Lion's  tail  on  the 
enemy  alien  question  has  produced  some  effect. 
The  Prims  Minister  has  asked  five  members  of 
Parliament  to  make  a  thorough  investigation  of 
the  enemy  alien  problem,  and  to  advise  him  what 
action  should  be  taken  to  allay  public  anxiety. 

The  remedy  is  simple.  There  is  to  be  a  great 
public  demonstration  in  Trafalgar  Square  on. 
Saturday,  July  13th,  at  2.30  p.m.,  at  which  a 
resolution  calling  for  immediate  interrirnent  of  all 
aliens  cf  enemy  blood  will  be  submitted 

Let  us  all  be  there  to  see  it  is  passed  by  accla- 
mation, and  later  make  sure  that  the  demands 
of  the  people  are  carried  into  effect  by  the  Govern- 
ment. The  feeling  concerning  these  dangerous  and 
crafty  spies  will  soon  be  out  of  hand  unless  firm 
action  is  enforced. 


8'  ^be  3Britl6b  Journal  of  IRurgtng.  My  6.  1918 

Ropal  Britlsl)  Rurses*  Jlssociation^ 


(Incorporated  bp   &j&S\   Ropal  Cftarler.) 


THIS  SUPPLEMENT   BEING   THE    OFFICIAL    ORGAN    OP    THE    CORPORATION. 


Cttmbefland  hodgCf 

M  Windsor,  ... 

\Y  June  28th,  J9J8.  W 

W       TO   THE   MEMBERS   OF   THE  AFFILIATED   SOCIETIES,  /fe 

^K  I  desite  in  this  Supplement,  the  fitst  issue  of  the  new  official  organ  of  the  ''' 

^K        Royal  British    Nurses*  Association,  to  express   the    sincere    gratification    the 

y^.       affiliation  of  your  Societies  with  my  Association  affords  me.  ^u 

J!f  I  am  confident  that  my  own  Nurses  would  like  me  to  say  that  they,  too,  vi: 

M>        welcome  most   cordially  closer  union  between  you  and  them.      I  have  appre-  y^ 

:ff       ciated  warmly  the  support  given  by  your  Societies  to  the  Chartered  Association^  ^?^ 

:K        and  I  earnestly  hope  that  the  powers  conferred  by  the  Royal  Charter  may  be  ^{^ 

w        used  in  every  way  possible   to  aid   your  Societies,  in  all  they  undertake,  to  ^{J 

V/        further  the  interests  of  all  fully  trained  Nurses.  W 

Vf  I   trust  that   this  union   between   your  Societies  will  not  be  a  matter  of  W 

Vf        organisation   alone,  but   that   it  will  inspire  a  spirit  of  comradeship   between  '.VS 

Vf/        you  and  the  Members  of  the  Royal  British  Nurses'  'Association — individually  kHS 

and  collectively.  /|r 

The  welfare  and  happiness  of  our  Nurses  is  a  matter  very  near  to  my  wJS 

yflf       heart,  and  I  have  watched  with  great  pride  and  admiration  the  magnificent  ^,fS 

yi/f       and  self-sacrificing  work  they  have  done.  ^jj^ 

ijl)  It  is  therefore  a  source  of  much  gratification  to  me  to   feel   that   your  ifl\ 

^1/        Societies  have  all  united  under  the  Royal  Charter  granted  to  my  Association  /|\ 

yi/f        by  my  beloved  Mother,  Queen  Victoria.  jljf^ 

k 

President  of  the}  Royal  British  Nurses*  Association.  ^^ 

.J" 


July  6,   1918 


G^be  Britieb  3ournal  ot  "ffluremfl. 


THE  OFFICIAL  ORGAN  OF  THE 
ROYAL  BRITISH  NURSES' ASSOCIATION. 


A    NhW     DEPAKTUkE. 

For  several  years  the  conviction  has  been 
growing  in  the  minds  of  Members  of  the 
Council  of  the  Royal  British  Nurses'  Associa- 
tion that  a  monthly  organ,  which  circulates 
only  to  its  own  Members,  is  no  longer  adequate 
to  the  requirements  of  the  Corporation.  The 
events  of  the  past  twelve  months  have  brought 
this  point  of  view  more  prominently  than  ever 
before  those  to  whom  the  management  of  the 
Corporation  has  been  entrusted  by  its  Mem- 
bers, particularly  as  the  action  of  the  AssociaT 
tion  and  its  Council  has  been  repeatedly  mis- 
represented in  sections  of  the  nursing  press. 
The  opinion  of  some  Memibers  of  the  General 
Council  has  been  that  the  object  of  such  mis- 
representation was  not  merely  to  obscure  the 
powers  which  the  nurses  possess  in  their 
Charter  and  the  use  which  they  could  make 
of  it  to  improve  their  economic  position,  but 
also  to  spread  dissension  in  the  Association, 
and  to  undermine  the  confidence  of  the  Mem- 
bers in  those  whom  they  have  elected  to  the 
governing  body  of  the  Association.  If  such 
has  been  the  intention  it  has  failed  utterly,  for 
at  no  time  have  the  Members  been  more 
strongly  united ;  nevertheless  the  Council  feel 
that  the  time  has  now  arrived  for  adopting  an 
organ,  wherein  to  publish  fortnightly  a  rep>ort 
of  what  is  taking  place  in  connection  with  the 
Association  and  its  work.  Too  often  it  happens 
that  matter,  inserted  in  a  monthly  journal,  has 
already  appeared  in  the  weekly  press,  and  not 
as  official  information  from  the  Association. 
These  considerations  led  the  Council  to  the 
decision  that  some  change  was  now  called  for 
to  enable  the  Members  to  keep  in  close  touch 
with  their  Corporation.  At  a  quarterly  meet- 
ing, at  which  Her  Royal  Highness  the  Presi- 
dent of  the  Corporation  presided,  it  was 
decided  that  steps  should  be  taken  in  order 
to  arrange  that  oflficial  information  should  be 
inserted  in  a  weekly  organ.  It  was  the  unani- 
mous opinion  of  the  Meeting  that  The  British 
Journal  of  Nursing  was  the  Journal  best 
suited  in  which  to  insert  the  official  Supplement 
of  the  Chartered  Corporation  of  fully  qualified 
nurses.  Instructions  were  given  to  the  Execu- 
tive Committee  to  proceed  with  whatever 
negotiations  and  arrangements  they  might 
deem  advisable,  in  order  to  give  effect  to  the 
proposals  of  the  General  Council.  At  the  next 
Meeting  of  that  Committee  the  Honorary 
Officers  were  asked  to  approach  Mrs.  Bedford 


Fenwick,  Editor  of  The  British  Journal  of 
Nursing,  and  to  request  that  some  arrange- 
ment should  be  made  whereby  that  Journal 
should  become  the  organ  of  communication 
with  Members  of  the  Association.  The  pro- 
posals of  the  Executive  Committee  were  met 
in  the  most  generous  spirit  by  Mrs.  Fenwick, 
and  ultimately  the  Committee  laid  before  the 
General  Council  a  formal  recommendation  that 
a  Supplement  be  inserted  fortnightly  in  The 
British  Journal  of  Nursing  as  the  Official 
Organ  of  the  Corporation.  This  recommenda- 
tion was  unanimously  adopted  at  a  Special 
Meeting  of  the  General  Council. 

The  decision  of  the  Council  in  this  matter  is 
a  very  important  one,  apart  from  those  aspects 
in  which  it  nearly  concerns  the  Association 
itself,  for  such  a  decision  embodies  the  vital 
principle  that  control  of  the  professional  press 
should  be  in  the  hands  of  the  profession.  The 
British  Journal  of  Nursing,  is  the  only 
weekly  nursing  paper  in  England  edited  by 
nurses.  It  is,  therefore,  the  Journal  best  cal- 
culated to  promote  the  interests  of  the  nurses, 
to  voice  their  opinioas,  and  to  keep  them 
informed  on  questions  relating  to  their  profes- 
sional affairs  ;  moreover,  directly  and  indirectly, 
it  is  undoubtedly  the  publication  which  has 
educated  the  public  and  the  nurses  of  all 
countries  on  the  necessity  for  the  organization 
of  nursing  education  and  the  need  for  Regis- 
tration by  the  State  of  those  who  have  qualified 
themselves  to  be  entrusted  with  the  care  of  the 
sick. 

Some  regret  was  expressed  at  the  Council 
Meeting  that  the  Nurses'  Journal  should  be 
discontinued,  but  just  as  "  new  times  demand 
new  manners  and  new  men,"  so  also  a  time 
has  come  when  the  Journal,  which  has  served 
its  purpose  so  usefully  in  the  past  twelve 
months  of  controversy,  by  conveying  to  the 
Members  full  verbatim  reports  of  the  proceed- 
ings at  Meetings  of  the  Corporation  and  its 
Council,  must  now  be  laid  aside  in  favour  of 
another  which  is  in  a  position  to  be  of  greater 
value  to  the  Members  and  to  the  profession  at 
large.  We  hope  that  the  Members  will  look 
upon  their  new  organ  as  an  important  and 
tangible  part  of  their  Association.  As  Mem- 
bers of  the  only  Corjxiration  of  Nurses  recog- 
nised by  the  State  they  have  great  powers,  and 
consequently  great  responsibilities.  In  order 
to  discharge  those  faithfully  thev  must  see  to 
it  that  they  use  the  means  provided  for  them 
in  order  to  keep  themselves  informed  on  all 
questions  relating  to  the  policy  of  their  Cor- 
poration, for  the  present  time  is  one  of  grave 
crisis  for  themselves  and  all  members  of  their 


$o 


Zbe  Britieb  Sournal  of  flursinav 


July  6,    1918 


profession,  and  questions  call  for  consideration 
which  are  of  vital  importance  to  them  and  to 
the  nurses  of  the  future. 

One  word  to  those  who  are  not  Members  of 
the  Association  :  the  Royal  Charter  gives  to  the 
Royal  British  Nurses'  Association  prestige  and 
powers  which  no  other  body  of  nurses  in  the 
Empire  possesses  or  is  ever  likely  to  possess, 
powers  granted  to  the  nurses  under  the  sign 
manual  of  a  sovereign  of  the  realm.  The 
extent  to  which  such  powers  shall  be  used  to 
protect  them  and  to  promote  their  welfare 
is  entirely  dependent  upon  the  nurses  them- 
selves, their  comradeship,  their  willingness  to 
unite  with  one  another,  and  to  line  up  under  the 
banner  of  the  Royal  Charter,  each  stepping 
into  her  place  in  the  Royal  Corporation  pre- 
pared to  take  her  part  as  an  architect  in  t^'e 
building  of  a  mighty  fabric  composed  of  indi- 
viduals, each  individual  strengthening  and 
being  strengthened  by  the  other.  By  the  Royal 
Charter  nurses  are  given  the  powers  to  form 
such  an  organization,  and  one  so  powerful  that, 
if  all  the  nurses  in  England  would  come  for- 
ward to  help,  there  is  .nothing  within  reason 
which  it  could  not  demand  for  them  and  get. 

ROYAL     RED     CROSS. 

The  Royal  Red  Cross  (second  class)  has  been 
awarded  to  Miss  Caroline  Cattrll,  Mation  of  the 
Uffculme  Military  Hospital,  Biimingham.  Miss 
Cattail  held  appointments  as  Sister  and,  later,  as 
Matron  in  Military  Hospitals  in  France,  between 
1914  and  19 1 6.  Later,  she  acted  as  Sister  in  a 
Military  Hospital  in  London,  and  left  this  for  the 
appointment  which  she  now  holds.  We  notice 
that  in  the  same  list  of  awards,  a  similar  honour 
has  been  conferred  upon  Miso  Bertha  Cattell 
(Sister  Mary  Peter  of  the  Little  Company  of  Mary), 
and  the  information  will  give  pleasure  to  many  of 
out  members  t^^  whom  these  ladies  are  well  known. 
Both  are  sisters  of  Miss  Alice  Cattell,  a  popular 
member  of  the  Council  of  the  R.B.N.  A. 

AFFILIATED    SOCIETIES. 

Since  the  General  Meeting  of  the  Corporation, 
information  has  reached  us  that  the  Scottish 
Nurses'  Association  has  accepted  the  invitation  of 
H.R.H.  the  president  and  the  Council  to  become 
afl&liated  to  the  Corporation,  and  Miss  Isabel  E. 
Henderson  has  been  nominated  as  its  representa- 
tive on  the  Council.  Miss  Henderson  has  been  a 
member  of  the  R.B.N. A.  since  1909.  The 
following  Societies  are  also  now  affiliated  : — The 
Matrons'  Council  of  Great  Britain  and  Ireland, 
the  Society  for  the  State  Registration  of  Trained 
Nurses,  the  National  Union  of  Trained  Nurses, 
the  Irish  Nurses'  Association,  and  the  Fever 
Nurses'  Association. 

(Signed)     Isabel  Macdonald, 

Secretary  to  the  Corporation. 


THE  LEAGUE  OF  ST.  BARTHOLOMEW'S 
HOSPITAL  NURSES. 


The  summer  general  meeting  of  the  League  of 
St.  Bartholomew's  Hospital  Nurses  was  held  in 
the  clinical  theatre  of  the  hospital  on  Saturday, 
June  29th.  In  the  unavoidable  absence  of  the 
President,  Miss  Helen  Todd,  the  chair  was  taken 
by  the  senior  Vice-President,  Miss  Juliet  Curtis. 
Miss  Todd  wrote  expressing  her  extreme  regret 
at  her  absence,  and  saying  that  it  was  the  first 
summer  meeting  of  the  League  she  had  missed 
since  its  foundation  ;  only  urgent  duty  would 
have  kept  her  away. 

Satisfactory  Reports. 

Very  satisfactory  reports  were  presented.  The 
Treasurer,  Mrs.  Turnbull,  showed  a  balance  in 
hand  of  over  £67,  after  paying  for  three  issues 
of  League  News  in  one  year.  Miss  Cutler,  the 
General  Secretary,  reported  that  forty-seven  new 
members  had  joined  during  the  year  and  one 
resigned,  and  that  the  League  now  numbered 
973  members. 

The  decorations  conferred  on  members  of  the 
League  included  a  Military  Medal  bestowed  upon 
Miss  Dorothy  Foster,  two  bars  to  the  Royal  Red 
Cross,  and  seven  first-class  and  seventeen  second 
class  R.R.C.s,  and  two  Serving  Sisters  of  the  Order 
of  St.  John  of  Jerusalem. 

The  Chairman  said  that  many  members  of  the 
League  working  on  land  and  sea  had  gained 
decorations.  The  members  of  the  -League  would 
like  them  to  know  how  they  valued  their  courage 
and  work,  and  that  we  should  welcome  them  on 
their  return  with  pleasure,  love  and  gratitude. 

We  felt  their  good  work  was  needed,  for  we  saw 
the  results  of  other  work  which  was  not  so  skilled, 
and  we  felt  that  our  broken  men  needed  the  very 
best  we  had  to  give  and  the  most  skilled  nursing 
care ;  therefore,  when  honours  came  to  the 
skilled  workers  we  rejoiced  at  this  recognition. 

Mrs.  Matthews,  Treasurer  of  the  Benevolent 
Fund  reported  a  balance  in  hand  of  over  ;^9o. 
One  grant  of  ;f  10  had  been  made  during  the  year. 
The  Executive  Committee. 

Miss  M.  Appleyard,  R.R.C.,  and  Miss  Lister 
were  elected  members  of  the  Executive  Committee 
in  place  of  the  retiring  members. 

The  Isla  Stewart  Memorial. 

Mrs.  Shuter  presented  the  Report  of  the  Isla 
Stewart  Memorial  Standing  Committee,  which 
showed  the  total  amount  received  to  be  /600, 
and  an  income  from  investments  (including  the 
£5  annual  subscription  of  the  League)  of  /30  per 
annum. 

Report  on  State  Registration. 

Miss  Le  Geyt,  delegate  of  the  League  on  the 
Executive  Committee  of  the  Society  for  the 
State  Registration  of  Trained  Nurses,  then 
presented  her  report,  in  which  she  said,  in  part  : — 

"  In  taking  a  general  survey  of  the  work  of 
the  Society  during  the  past  year,  it  would  seem  as 


July  6,   1 91 8 


Ebe  Bviti0b  Sournal  of  •BwrsinQ^ 


H 


if  the  President  and  the  Executive  Committee 
had,  Uke  the  nation  at  large,  experienced  the  need 
to  exercise  great  vigilance  in  this  instance  in 
guarding  the  ideals  and  interests  of  the  nursing 
profession,  - 

"  With  truth  it  might  be  said  that  '  Vigilance' 
could  be  called  the  watchword  of  the  Society 
for  the  State  Registration  of  Trained  Nurses 
from  its  foundation  in  1902." 

Mrs.  Bedford  Fenwick  briefly  outlined  the 
present  position  up  to  date,  commenting,  in  this 
connection,  on  the  seventh  draft  of  the  Nurses' 
Registration  Bill  of  the  College  of  Nursing,  Ltd. 
Three  important  points  had  now  been  conceded, 
but  the  Bill  still  incorporated  the  College  Com- 
pany ;  it  also  made  provision  for  establishing 
registers  of  specialists.  The  claim  for  such 
r<  gisters  was  a  claim  on  the  part  of  institutions. 
To  take  women  and  half  train  them  was  to  put 
them  outside  the  pale.  The  first  duty  of  any 
Council  considering  the  State  Registration  of 
Trained  Nurses  was  to  do  justice  to  the  members 
of  the  nursing  profession. 

This  view  was  strongly  supported  by  Miss 
Helen  Pearse. 

The  Chairman  said  that  the  nursing  profession 
appeared  at  the  present  time  to  be  in  great 
jeopardy.  It  was  used,  put  aside,  and  other 
people  put  forward ;  training  did  not  count  We 
must  see  that  the  profession  was  not  overlooked. 
She  hoped  if  amalgamation  of  the  two  Bills  took 
place  we  should  keep  the  profession  at  the  top,  and 
hold  firmly  to  standard?,  ideals,  and  principles. 

The  meeting  then  terminated,  and  adjourned. 
for  tea,  which  was  served  in  the  Nurses'  Home 
and  the  cloisters. 


THE    NURSES'    MISSIONARY    LEAGUE 
CAMP. 


This  is  the  first,  but  I  trust  not  the  last,  time 
that  I  have  attended  the  "  Camp  "  of  the  Nurses' 
Missionary  League.  It  was  held  from  Jime  20th 
to  27th,  at  Old  Jordans  Hostel,  Beaconsfield,  an 
ideal  spot  with  such  a  beautiful  old-world  garden 
and  lovely  woods  and  country  all  round,  most  rest- 
ful and  peaceful.  We  started  with  twelve 
members,  but  were  soon  fourteen,  and  several  were 
prevented  at  the  last  from  joining  us.  We  met 
each  morning  after  breakfast  for  prayers,  and  then 
most  of  the  mornings  and  afternoons  were  spent 
in  walks  or  rambles  in  the  woods,  in  gathering 
strawberries  or  in  cycle  rides.  One  afternoon  two 
of  the  nuises  made  an  excursion  to  Burnham 
Beeches,  most  beautiful  woods,  some  six  miles 
away.  On  three  mornings  there  were  Bible 
Circles,  which  we  found  most  helpful ;  but  best  of 
all  perhaps  were  the  evenings,  when  we  had  in- 
spiring addresses  on  such  subjects  as  "  God's  Plan 
for  the  World"  and  "  The  Great  Adventure," 
always  ending  with  prayer  and  intercession.  We 
remembered  all  our  members,  very  especially  those 
in  the  foreign  mission  field.  We  were  very  for- 
tunate  in   having   with    us   Miss   Herbert,    from 


China  ;  Miss  Mathew,  from  Uganda  ;  Miss  Jbnes 
from  North  India  ;  and  Miss  Edwards,  who  has 
done  mission  work  in  France.  Other  members 
represented  health  welfare,  civil  and  military 
hospitals  and  private  and  district  work.  We  had 
wonderful  examples  of  God's  answers  to  prayer  in 
Miss  Herbert's  most  interesting  talks  about  China 
and  Miss  Mathew  and  Miss  Jones  interested  us 
keenly  in  their  work  by  their  conversation  and 
photographs.  They  showed  us  how  very  urgent  is 
the  call  for  more  workers  ;  while  the  letters  read  to 
us  from  members  abroad  showed  how  more  than 
usually  under -staffed  many  hospitals  are  at 
present,  making  always  difficult  work  well-nigh 
impossible.  They  showed  us  too,  however,  that 
the  difficulties  are  as  nothing  in  comparison  with 
the  privilege  of  carrying  the  message  of  Christ  all 
over  the  world.  Many  of  these  letters  told  how 
deeply  the  members  abroad  appreciate  the  prayers 
of  their  friends,  and  one  of  the  lasting  memories  of 
Camp  will  be  the  emphasis  upon  prayer. 

It  was  the  most  enj  oyable  and  most  restful 
holiday  I  have  ever  haa,  and  we  all  hope  that  the 
second  Camp,  which  is  to  be  held  at  Mottram  St. 
Andrew,  Cheshire,  from  July  17th  to  24th,  will  be 
as  great  a  success.  Any  nurses  who  are  free  at  that 
time  should  write  at  once  for  particulars  to  Miss 
Macfee,  21,  Frognal  Lane,  Hampstead,  London, 
N-W-  3-  A  Visitor  to  the  Camp. 


NURSES  AND  INSURANCE. 


The  National  Insurance  Commissioners  have 
issued  a  summary  of  the  Provisions  of  the  National 
Insurance  (Health)  Acts,  1911-18,  for  the  infor- 
mation of  the  members  of  Approved  Societies. 
These  helpful  leaflets  can  be  obtained,  cost  id. 
through  any  bookseller,  or  directly  from  H.M. 
Stationery  Office,  at  the  following  addresses  : — 
Imperial  House,  Kingsway,  London,  W.C.  2  ;  or 
28,  Abingdon  Street,  London,  S.W.  i  ;  37.  Peter 
Street,  Manchester ;  i  St.  Andrew's  Crescent, 
Cardifi ;  23,  Forth  Street,  Edinburgh ;  and  E. 
Ponsonby,  Ltd.,  116,  Grafton  Street,  Dublin. 
Nurses  who  are  insured,  would  do  w^ell  to  procure 
and  study  these  leaflets,  as  they  will  find  them 
very  useful  to  refer  to  in  deaUng  with  the  Secretary 
of  the  Approved  Society  in  which  they  are  insured. 

A  New  Rule. 
The  amended  Act  (1918),  Clause  27,  instructs  a 
member  who  becomes  incapable  of  work  through 
illness  to  give  notice  to  her  Society  at  once,  together 
with  a  medical  certificate  of  incapacity.  If  she 
does  not  give  notice  within  three  days  from  the 
commencement  of  her  incapacity,  benefit  will  not 
commence  until  the  day  following  that  on  which 
the  notice  is  given.  This  is  a  new  rule,  to  which 
insured  nurses  must  give  heed,  as  under  the  old 
provisions  of  the  Act,  they  were  often  most 
casual  in  notifying  illness,  sometimes  not  doing  so 
for  weeks  and  then  expecting  benefit  in  full, 
although  all  rules  had  been  broken.  For  the 
future  they  will  do  well  to  obey  the  law. 


X3 


Zhc  »rttiab  Journal  ctf  Burelng, 


July  6,   igi8 


GAMBOLS  V.  NATIONAL  SERVICE. 


I'^isde^y  to  be  deplored  that  His  Majesty  the 
King  has,  with  the  kindest  intentions  no  doubt, 
given^perniission  for  a  Garden  Party,  to  be  held  at 
St.  James'  Palace,  for  the  War  Charity,  the 
Nation's  Fund  for  Nurses,  as  it  is  in  no  sense 
national,  and  its  methods  are  detested  by  self- 
respecting  professional  nurses. 

We  have  as  a  result  a  new  outburst  of  costly 
advertisements  in  the  daily  Press  in  support  of  the 
Fund,  which  continue:^  to  boycott  the  opinions  of 
those  opposed  to  the  subsidising  of  the  lay  consti- 
tuted College  of  Nursing  Company,  in  its  attempt 
to  control  the  Nursing  profession. 

Once  again  our  sense  of  propriety  is  out- 
raged by  the  reappearance  on  the  hoardings  of 
the  poster  of  a  semi-nude  female,  purporting  to  be 
a  nurse,  tenaciously  clutching  a  wounded  (and 
evidently  abashed)  young  man  ! 

Throughout,  the  tone  of  the  advertisements  in 
support  of  this  War  Charity  have  been  tactless  and 
offensive  in  the  extreme,  and  we  note  amongst 
other  advertised  attractions  there  are  to  be 
"  Gambols  "  at  the  Garden  Party !  Who  is  going 
to  "  Gambol  "  ?  Surely  not  the  heads  of  our 
Nurse-training  Schools  who  are  thrusting  this 
Society  Charity  on  the  profession  they  should  be 
the  first  to  protect.  But  that  the  supposed  indi- 
gence of  our  profession  is  to  be  the  excuse  for  this 
unseemly  rout,  's  nothing  short  of  an  outrage, 
when  we  know  that  brave  men,  many  of  them  our 
nearest  and  dearest,  are  dying  or  risking  death  for 
us  in  every  hour. 

We  have  in  our  midst  an  army  of  rich,  vain  and 
idle  women,  under  dressed  and  overfed,  whose  life 
has,  and  presumably  always  will  consist  of  self- 
indulgence,  excitement  and  vapidity,  women  who 
never  have  done  an  hour's  real  useful  work  since 
the  war  began,  and  who  clutch  at  any  excuse  to 
amuse  themselves.  If  this  heartless  clique  must 
"  gambol  "  whilst  the  nation  is  in  danger,  we 
strongly  object  to  our  profession  b(  ing  used  as  an 
excuse  for  their  antics,  and  the  sooner  Parliament 
conscripts  the  lot,  and  compels  them  to  do  some 
really  useful  work  for  the  benefit  of  the  country 
the  better.  Young,  strong,  able-bodied  women 
should  be  on  the  land,  in  the  shipyards,  or  in  the 
factory  in  this  hour  of  the  nation's  needs.  Any- 
way we  nurses  protest  against  their  "gambols" 
in  our  name,  under  a  cloak  of  Charity. 


MISS  ELIZABETH  ASQUITH  LETS 
ANOTHER  CAT  OUT  OF  THE 
COLLEGE  BAG. 


As  widely  advertised.  Miss  Elizabeth  Asquith 
and  others  have  been  selling  tickets  for  the 
"  Gambols "  at  St  James'  Palace  at  the  big 
drapers'  shops  during  the  week,  which  has  given 
nurses  who  object  to  bdng  placed  at  the  mercy  of 


the     College     Constitution     an     opportunity    of 
expressing  their  views  concerning  lay  patronage. 

The  Daily  Mirror  man  also  availed  himself  of  the 
opportunity  to  seek  information,  to  judge  by  the 
following  "  par "  which  appeared  on  Tuesday 
last : — 

FUTURE    OF    THE    V.A.D. 

College    and    Full    Education    Scheme    for 

Nurses  After  the  War. 

What  is  to  become  of  the  V.A.D. 's  after  the  War  ? 

Miss  EUzabeth  Asquith  told  The  Daily  Mirror 
yesterday :  "A  College  of  Nursing  has  been  founded 
by  the  Nation's  Fund  for  Nurses  as  a  thankofiering 
for  what  the  nurses  have  done. 

"  Undoubtedly,"  Miss  Asquith  added,  "  vast 
numbers  of  V.A.D.'s  will  want  to  continue  nursing, 
but  they  must  be  adequately  trained,  and  the 
college  has  a  full  education  scheme,  with  scholar- 
ships, so  that  they  can  finish  their  course. 

"  In  peace  days,  when  wounds  and  shell  shocks 
are  no  more,  they  must  know  the  women's  side  of 
musing  as  well  as  the  men's." 

Trained  nurses  will  do  well  to  consider  their 
future  if  they  hope  to  make  a  living  in  com- 
petition with  "  vast  numbers  "  of  V.A.D.'s.  who 
are  being  projected  into  the  profession  through 
the  Nation's  Fund  for  Nurses 


A  PROTEST. 


Under  the  heading  of  "  A  Protest,"  a  communi- 
cation from  Miss  Alicia  Lloyd  Still,  Matron  of  St. 
Thomas'  Hospital,  London,  and  Miss  Amy  Hughes 
late  General  Superintendent  of  Queen  Victoria's 
Jubilee  Institute  for  Nurses  appeared  in  the  June 
number  of  the  American  Journal  of  Nursing. 
These  ladies  write :  "Our  attention  has  been 
drawn  to  an  article,  headed  '  English  Nursing 
Politics,'  published  in  the  American  Journal  of 
Nursing  for  February.  As  this  article  is  evidently 
written  under  a  misapprehension  of  the  situation, 
and  as  it  is  based  upon  a  biassed  account  given  in 
The  British  Journal  of  Nursing  of  the  present 
condition  of  the  Nursing  World  in  England,  may 
we  be  allowed  to  give  a  short  account  of  the  exist- 
ing state  of  affairs  in  the  nursing  world  ? 

"  The  article  in  question  (written  by  Miss  Dock) 
says  that  an  '  odious  element  which  has  been  the 
afifliction  of  British  nurses  for  thirty  years,  is  still 
busy  trying  to  enslave  them  in  a  web  wherein  the 
College  of  Nursing,  State  registration,  and  pubHc 
alms  are  woven  with  the  intent  to  keep  them 
professionally   helpless." 

"  The  Protest  "  of  the  two  signatories  is  full, 
no  doubt  unintentionally,  cf  inaccuracies  which 
can  be  quite  easily  refuted  from  the  printed  matter 
so  lavishly  issued  by  the  College  of  Nursing,  Ltd., 
which  it  is  designed  to  support. 

The  confusion  of  mind  of  the  College  Matron 
advocates  concerning  their  own  Constitution  is 
amazing.  Apparently  they  have  never  studied  it, 
or  are  incapable  of  discriminating  concerning  the 
"  odious "    provisions   of   its   Memorandum   and 


July  6,   1918 


Zbc  Brttiab  3ournal  of  IRurstng. 


n 


Articles  of  Association  (which  we  know  were 
drafted  bete-e  they  were  consulted)  but  which  they 
have  made  no  attempt  to  alter. 

Next  week,  in  justice  to  The  BRirrsH  JoxrxNitt, 
OF  Nursing,  we  propose  to  prove  that  it  is  neither 
biassed  nor  inaccurate  in  its  surmises  concerning 
the  fundamental  policy  of  the  promoters  of  the 
College  of  Nursing,  Ltd. 

Anyway,  those  members  of  the  nursing  profes- 
sion in  England,  Scotland  and  Ireland,  who  are 
economically  independent  do  not  intend  to  submit 
to  its  Constitution,  as  so  many  ignorant  young 
nurses  have  been  persuaded  by  their  employers 
to  do. 


APPOINTMENTS. 


MATRON. 


A    CONVENIENT    SHOPPINQ     CENTRE. 

Proprietors  of  Nur.,ing  Homes  and  private 
nurses  in  the  Marylebone  District  will  find  in  the 
establishment  of  Messrs.  Gayler  &  Pope,  11 2- 11 7, 
High  Street,  Marylebone,  W.,  a  convenient 
shopping  centre,  whethei  for  materials  for  nursing 
uniforms,  or  foi  general  shopping  purposes.  Those 
requiring  furniture,  whether  for  the  equipment  of 
nursing  homes  or  its  renewal,  should  inspect  the 
varied  stock  of  this  firm. 

A    POPULAR   PUBLISHER. 

Messrs.  H.  &  K.  Lewis,  Ltd.,  of  136,  Gower 
Street,  and  24,  Gower  Place,  W.C.  i,  publish  a 
variety  of  literature  popular  with  and  useful  to 
nurses,  masseuses  and  midwives  in  connection 
with  theii  work.  In  this  connection  we  may 
mention  "  The  Theory  and  Practice  of  Massage," 
with  numerous  illustrations  by  Miss  Beatrice  M.  G. 
Copestake,  Member  of  and  Examiner  to  the 
Incorporated  Society  of  Trained  Masseuses. 

SOME    VALUABLE    FOODS. 

Just  now  when  the  anxieties  of  the  war  are 
apt  to  bring  many  people  somewhat  below  par, 
and  rationing  and  considerations  of  economy 
restrict  the  diet,  it  is  well  to  recall  some  of  the 
valuable  foods  which  we  can  utilise  with  advantage, 
for  adults,  children  and  infants.  The  Allen- 
BURYs'  P'ooDS  (37,  Lombard  Street,  London) 
(Milk  Food  No.  i  and  No.  2  and  Malted  Food 
No.  3)  will  be  found  most  satisfactory  in  the 
feeding  of  infants,  while  their  Diet  is  largely  used 
and  of  proved  value  for  invalid  and  aged  persons. 

Robinson's  "  Patent  "  Barley  (Keen,  Robin- 
son &  Co.,  Ltd.,  London),  for  making  barley  water 
for  diluting  cow's  or  goat's  milk  for  infant  feeding 
is  a  preparation  which  midwives  and  nurses  find 
invaluable,  and  nothing  could  be  better  than  their 
"  Patent  "  Groats,  for  preparing  milk  gruel  and 
porridge  for  nursing  motherc. 

Benger's  Food  (Otter  Works,  Manchester)  is 
an  invaluable  preparation  in  the  dietary  of 
invalids,  a  unique  feature  of  which  is  that  it  is  self- 
digestive  and  that  the  extent  of  the  digestive 
process  can  be  regulated  to  suit  individual  patients. 

Falieres'  Phosphatine  (F.  H.  Mertens,  84, 
Holborn  Viaduct,  E.C.  i)  is  also  a  valuable  food, 
which,  associated  with  milk,  is  much  liked  by 
patients,  while  its  food  value  is  undoubted. 


Hfelsh  flo^ltal,  Netley.  —  Miss  Kathleen  S. 
Stewart  has  been  appointed  Matron.  She  received 
her  general  training  at  the  Royal  Infirmary, 
Sunderland,  and  maternity  training  at  the  Royal 
Maternity  Hospital,  Edinburgh.  She  was  sub- 
sequently district  and  ward  Sister  at  the  Deaconess 
Hospital,  Edinburgh,  and  Night  Superintendent 
and  Housekeeping  Sister  at  the  Royal  Infirmary, 
Sunderland.  She  has  also  been  Housekeeping 
Sister  at  Chaiing  Cross  Hospital,  Assistant  Matron 
at  the  Royal  Hospital  for  Sick  Children,  Edinburgh, 
and  Matron  of  the  York  County  Hospital.  She 
was  awarded  the  Royal  Red  Cross  (2nd  Class)  in 
January,   191 7. 

Isolation  Hospital  and  Sanatorium,  Belvedere 
Road,  Burton-on-Trent. — Mrs.  A.  ElUs  has  been 
appointed  Matron.  She  was  trained  at  the  Royal 
Infirmary,  Derby,  and  the  Fountain  Fever 
Hospital,  Tooting,  where  she  also  held  the  posi- 
tions of  Waid  Sister,  Night  Superintendent  and 
Housekeeper.  She  has  also  been  Matron  of  the 
District  Hospital,  Settle,  and  for  the  last  five 
years  of  the  Joint  Hospital  and  Sanatorium, 
Smethwick. 

Royal     Surrey     County     Hospital,     Guildford.  — 

Miss  R.  A.  Longland  has  been  appointed  Matron. 
She  was  trained  at  the  Great  Northern  Hospital, 
London,  where  she  has  been  Sister  and  Night 
Superintendent,  and  has  also  held  the  positions  of 
Assistant  Matron  and  Acting-Matron  at  the  Royal 
Surrey  County  Hospital. 

Tuberculosis  Sanatorium,  Pelsall  Hall,  near 
Walsall. — ^Miss  P.  Partington  has  been  appointed 
Matron.  She  has  previously  been  Matron  of  the 
Observation  Hospital  for  Tuberculosis  at  Bury, 
Lanes. 

ACTING      MATRON. 

National  Hospital  for  Diseases  of  the  Heart, 
London.' — Miss  Cecilia  Beaton  has  been  appointed 
Acting  Matron.  She  was  trained  at  the  Taunton 
and  Somerset  Hospital,  and  has  been  Sister  at  the 
General  Infirmary,  Worcester,  and  the  County 
Hospital,  Bedford,  and  Home  Sistei  at  Bolingbroke 
Hospital,  Wandsworth  Common. 

ASSISTANT     MATRON. 

Hendon  Grove  Asylum,  Hendon,  N.W.  —  Miss 
Ehzabeth  J.  Thompson  has  been  appointed  Assist- 
ant-Matron. She  has  been  on  the  StafE  of  the  Prest- 
which  Asylum  for  fifteen  years,  and  for  the  past  two 
years  has  been  Assistant-Matron  of  Palmerston 
House,  Palmerston,  co.  Dublin. 

WARD     SISTER. 

Dudley  Union  Infirmary. — Miss  H.  Hollies 
has  been  appointed  Ward  Sister.  She  was  trained 
at  the  Wolstanton  and  Burslem  Union  Infirmary, 
and  is  at  present  pupil  midwife  at  Queen  Victoria's 
Nursing  Institute,  Northampton. 


t4 


Hbe  SrUtfb  3ourtiiil  of  f^ur^ma; 


]uly  6,   1918 


NURSING    ECHOES. 


Miss  Mollett's  many  friends  will  be  sorry  to 
hear  that  on  Thursday,  June  27th,  she  met  with 
a  serious  accident  when  cycling  from  Bourne- 
mouth to  her  home  at  Three  Cross,  near  Ring- 
wood.  Apparently  no  immediate  help  was  at 
hand,  and  she  lay  in  the  road  for  a  considerable 
time,  until  a  gentkman  came  by  and  rendered 
aid,  taking  her  in  a  taxi  cab  to  Miss  Forrest's 
Nursing  Home,  4,  Cambridge  Road,  Bourne- 
mouth. On  examination  it  was  found  that  the 
injuries  sustained  were  an  impacted  fracture  of 
femur,  a  bruised  head,  and  cut  arm.  Through- 
out all  this  Miss  Mollett  was  full  of  the  courage 
and  cheerful  endurance  which  never  fails  her. 
She  may  be  sure  now,  as  ever,  of  affectionate 
regard  and  sympathy,  and  also  of  good  wishes 
for  a  steady  convalescence  and  recovery. 


Long  before  the  war  we  claimed  just  educa- 
tional and  economic  conditions  for  nurses,  but 
until  recent  events  has  caused  the  supply  of 
nurses  in  all  directions  to  fall  short  of  the 
demand,  those  who  employed  them  app>eared 
well  content  to  continue  at  sweated  rates  of 
remuneration.  Especially  has  this  been 
apparent  in  various  branches  of  district  nursing. 
We  note  with  pleasure  the  recent  awakening  of 
conscience  (necessity  has  a  way  of  driving  her 
lessons  home)  on  this  question. 

There  has  been  far  too  much  patronage  and 
too  little  pelf  in  the  conduct  of  County  Nursing 
Associations  in  the  past,  and  our  Lady  Bounti- 
fuls  are  seldom  lavish  where  working  women 
are  concerned. 

We  observe  that  Mrs.  Cooke-Hurle,  speak- 
ing at  the  annual  meeting  of  the  Somerset 
Nursing  Association  at  Taunton,  said  :  "  She 
would  like  to  see  the  time  when  the  salaries  of 
nurses  would  be  raised  to  such  an  extent  that 
they  would  be  able  to  have  their  full  training 
and  adequate  payment  for  their  services." 

It  is  the  fault  of  the  women  organizers  and 
managers  of  the  County  Nursing  Associations 
that  these  just  terms  have  not  prevailed  in  the 
past.  A  network  of  social  influence  and  self- 
appointed  control  by  the  laity  has  defined  the 
standards  of  knowledge  and  the  remuneration 
of  district  and  village  nurses  all  over  the 
country.  The  standards  are  woefully  insuffi- 
cient, and  the  remuneration  a  sweated  wage. 
The  sooner  the  nursing  of  the  poor  is  directed 
by  a  State  Department  controlled  by  a  Ministry 
of  Health  the  better — better  for  patient  and 
nurse.    Class  goverrlment  has  had  its  day. 


The  Local  Government  Board  has  sanctioned 
a  joint  scheme  entered  into  between  the 
Nottingham  Guardians  and  the  Guardians  of 
the  Basford  Union  for  the  training  of  pro- 
bationary nurses,  under  which  the  proba- 
tioners will  receive  their  first  year's  training  at 
Basford,  and  then  proceed  to  Bagthorpe  for  a 
further  three  years'  training,  including  mid- 
wifery and  massage.  By  this  arrangement  the 
services  of  candidates  who  desire  to  qualify' 
as  fully  certificated  nurses  will  be  secured  for 
the  Basford  Union. 


The  King  Edward  Nurses  were  organized  as 
a  South  African  Memorial  to  commemorate  the 
life  and  aims  of  King  Edward  VII,  and  com- 
prises two  divisions  (a)  European  ;  (h)  Coloured 
and  Native,  and  its  immediate  object  is  to  make 
good  deficiencies  now  existing  in  nursing 
circles  in  South  Africa. 

From  the  Report  of  191 7,  just  to  hand,  we 
learn  from  Miss  J.  E.  Pritchard,  Superintendent 
of  the  Order,  that  1917,  like  the  two  previous 
years,  has  been  one  of  many  difficulties  owing 
to  the  war.  The  year  was  begun  with  a  staff 
of  15 — ^and  ended  with  11.  The  centres  have 
l>een  understaffed,  and  it  is  impossible  to 
estimate  the  work  lost,  but  we  gather  that  much 
good  work  has  been  done,  and  on  visiting  the 
various  centres  the  Superintendent  found  the 
nurses  much  appreciated  in  the  districts. 

A  new  centre  was  op)ened  during  the  year  at 
Empangeni,  a  malarial  district,  and  during  the 
floods,  when  it  was  cut  off  for  some  time,  it 
was  most  fortunate  that,  as  there  was  no 
doctor,  a  qualified  nurse-midwife  was  in  the 
place,  more  particularly  as  some  oases  who  had 
arranged  to  go  to  a  Maternity  Home  in  Durban 
were  unable  to  get  through. 

Several  applications  for  resident  nurses  have 
not  been  able  to  be  met  owing  to  the  shortage 
of  nurses,  but  considferig  the  serious  under- 
staffing  in  some  of  the  large  civil  hospitals,  the 
Superintendent  considers  the  Order  fortunate 
to  begin  the  year  with  t  i  nurses,  and  she  hopes 
when  times  are  normal  to  expand  the  work  in 
many  directions. 

The  Committee  report  with  great  satisfaction 
that  upon  the  completion  of  her  term  of  con- 
tract. Miss  Pritchard  has  consented  to  continue 
in  her  post.  The  Committee  also  records  its 
appreciation  of  the  services  of  Miss  Brailsford 
(Senior  Nursing  Sister  at  Ladysmith),  and 
other  members  of  the  Order. 


The     South     Australian      Branch     of     the 
R.B.N. A.   was  welcomed  by   the   South  Aus- 


July  6,    1918 


dbe  Sritidb  3ournarot  'Rurfftna. 


^5 


tralian  Branch  of  the  A.T.N. A,  at  its  annual 
meeting,  when  joint  consideration  was  given  to 
raising  the  fees  of  private  nurses  in  the  State 
from  j^2  2s.  to  ;^3  3s.  a  week.  Dr.  Cecil 
Corbin,  R.B.N. A.,  addressed  the  meeting,  and 
it  was  agreed  that  other  States  having  adopted 
the  higher  scale  of  fees  was  undoubtedly 
attracting  many  nurses  from  South  Australia. 
The  Council  recommend  raising  the  fee,  and 
the  members  will  have  an  opportunity  of  voting 
on  it. 


BOOK    OF   THE   WEEK. 


The  future  organization  of  the  nursing  pro- 
fession was  the  subject  for  discussion  at  the 
Women's  Institute  on  June  21st,  when  Mrs. 
Alderton,  of  Colchester,  presided.  It  is  a 
hopeful  sign  that  women  are  beginning  to  show 
concern  in  this  question,  as,  so  far,  they  have 
taken  deplorably  little  interest  in  trained  nurs- 
ing. Beyond  the  address  of  Miss  Georgina  K. 
Sanders,  who  described  the  methods  of  nurse 
training  in  America,  and  emphasised  the  im- 
portance of  dietetics  in  the  curriculum,  there 
was  nothing  of  great  value  in  the  discussion. 
We  were  sorry  to  hear  the  Secretary  of  the 
College  of  Nursing,  Ltd.,  defending  the  inde- 
fensible provision  in  its  Memorandum  whereby 
power  is  given  to  the  Council  to  remove  a 
member  from  its  Register  without  giving  her 
a  power  of  appeal.  Miss  Rundle  also,  in  advo- 
cating autocratic  control,  confused  the  Con- 
stitution of  the  College  of  Nursing  Company 
with  the  Constitution  of  the  Council.  It  is  high 
time  both  the  officials  and  nurses  realised  the 
difference  between  the  two.  Miss  Cowlin,  also 
speaking  of  Registration  in  the  United  States  of 
America,  said  that  during  a  visit  there  it  had 
not  taken  her  long  to  realize  that  the  value  of 
registration  in  some  of  the  States  was  practi- 
cally nil,  and  said,  "  We  put  education  first." 
Miss  Cowlin  did  not  appear  to  realize  that  the 
primary  purpose  of  a  Registration  Bill  is  to 
standardize  and  test  nursing  education,  and 
that  it  is  this  great  reform  which  the  State 
Registrationists  have  been  fighting  for,  for  a 
quarter  of  a  century,  and  which  the  nursing 
schools  have  opposed.  She  also  divulged  a 
unique  plan  for  roping  in  the  small  cottage 
hospitals.  They  could  not  be  used  for  training 
purposes,  she  said,  because  they  did  not  pro- 
vide sufficient  clinical  material.  The  proposal 
was,  therefore,  to  send  round  a  Sister-Tutor  to 
'nstruct  the  nurses.  How  the  advent  of  the 
Sister-Tutor  would  miraculously  provide  the 
clinical  material  she  did  not  explain,  nor  what 
would  be  the  position  of  the  Matrons  of  the 
smaller  hospitals  in  relation  to  Sister-Tutors. 


SIR    ISUMBRAS    AT    THE    FORD.* 

"  And  weel  ye  ken,  Maister  Anne,  ye  should  have 
been  asleep  lang  syne,"  said  Elspeth  severely. 

Master  Anne,  le  Comte  Anne-Hilarion  de 
Flavigny,  gave  a  little  sigh  fiom  the  bed.  "  I  have 
tried  ...  if  you  would  say  '  Noroway  '  perhaps  ? 
Say  '  Noroway — over  the — foam  '  Elspeth,  je  vous 
en  prie." 

"  Dinna  bf  using  ony  of  yer  French  havers  to  me 
wean,"  exclaimed  the  elderly  woman  thus 
addressed.  However,  she  sat  down,  took  up  her 
knitting,  and  began 

"  The  king  sat  in  Dumferline  toun 
Drinking  the  blude-red  wine." 

Anne-Hilarion  had  not  chosen  well  the  date  of 
his  entry  into  this  world. 

On  the  very  July  day  when  Rene  and  Janet  de 
Flavigny  and  all  their  tenants  were  celebrating  the 
admirable  prowess  displayed  by  M.  le  Comte  in 
attaining  without  accident  or  illness,  without 
fl\'ing  back  to  heaven,  as  his  nurse  had  it,  the  age 
of  one  year,  the  people  of  Paris  also  were  keeping  a 
festival,  the  first  anniversary  of  the  day  when  the 
bloody  head  of  the  governor  of  the  Bastille  had 
swung  along  the  streets  at  the  end  of  a  pike. 

Before  that  summer  was  out  the  Marquis  de 
Flavigny,  urged  by  his  father-in-law,  had  decided 
to  place  his  wife  and  child  in  safety,  and  so,  bid- 
ding the  most  reluctant  of  good-byes  to  the 
tourelles  and  the  swans  which  had  witnessed  tneir 
two  short  year?  of  happiness,  they  left  France  for 
England." 

But  on  the  journey  home  the  little  French  boy's 
Scottish  mother  caught  a  chill  from  which  she  never 
recovered,  and  the  openng  of  the  story  finds  Anne 
in  the  London  house  of  his  maternal  grandfather 
in  the  charge  of  his  Scottish  nurse,  at  the  hour  when 
his  father,  in  concert  -with  other  notable  emigres 
were,  in  the  room  below,  talking  of  the  intrigues 
and  counter  intrigues  which  ate  like  a  canker  into 
vhe  heart  of  the  Royalist  cause. 

There  are  many  charming  pictures  drawn  of  the 
little  Frarco-Scottish  boy.  Anne-Hilarion  was 
quite  aware  in  a  general  way  of  his  father's  occupa- 
tions. In  fact,  as  he  lay  in  his  bed,  looking 
through  the  curtains  at  the  wardrobe  door,  he  was 
meditating  upon  the  important  meeting  Papa  was 
having  with  his  friends  in  the  dining-room. 

His  lively  imagination,  coupled  with  Elspeth's 
grim  ballads,  and  something  he  had  heard  about 
papa  going  to  France,  made  him  decide  that  there 
was  nothing  for  it  but  to  go  down  to  the  conclave 
below  and  ascetain  the  truth. 

"  Messieurs,  a  new  recruit !  Welcome  small  con- 
spirator. Come  in,  but  shut  the  door."  And  all 
che  rest  turned  on  the  instant  to  look  at  the  little 
figure  clad  only  in  a  nightshirt  which  was  visible 
m  the  doorway  behind  Rerte  de  Flavigny's  back. 

He  made  a  dash  for  his  father. 

*  By  D.  K.  Broster.     John  Murray.     London 


i6 


ZDc  »riti6b  3ournal  of  flur^tne. 


July  6,   1918 


"  Papa,"  he  burst  out,  ",  Do  not  go  to  '  Noroway 
over  the  foam.'  You  know  how  it  says  the  feather 
beds  floated  about  in  the  waves  and  the  sea  came 
in  and  they  were  all  drowned  fifty  fathoms  deep." 

Little  Anne  learned  more  at  that  conclave  than  it 
was  prudent  he  should  know  in  those  troublous 
times. 

Following  almost  immediately  after  this  he  is 
kidnapped  and  taken  by  a  ruse  to  the  house  of  two 
charming  (?)  old  ladies,  who  posed  ae  his  father's 
old  friends. 

The  conception  of  these  two  treacherous  old 
pieces  of  Dresden  china  is  one  of  the  cleverest 
things  in  the  book. 

Mrae.  de  Chaulnes  first  dealt  effectively  with  old 
Elspeth,  who  had  also  been  inveigled  away  with  her 
charge. 

"  Elspeth  having  arranged  about  the  baggage, 
they  went  upstairs  into  a  spotless  little  bedroom 
smelling  of  lavender.  She  informs  the  old  Scotch 
woman  that  she  will  have  to  sleep  out  of  the  house. 

Elspeth  looked  mutinous,  and  her  mouth  took 
on  a  line  that  Anne  well  knew. 

:  "  A'ni  thinkin'  Mem,"  she  replied,  "  it  wad  be 
best  for  me  tae  hae  a  wee  bit  bed  in  here." 

Mme.  de  Chaulnes  shook  her  head.  "  I  am 
afraid,"  she  said,  "  that  that  arrangement  would 
not  suit  us  at  all." 

Elspeth  was  very  glum  as  she  put  the  little  boy 
to  bed. 

"  At  ony  rate"  she  said,  "  A'll  no  leave  tiU  A 
please." 

"  They  are  very  kind  Icidies,"  said  little  Anne, 
who  was  excited.  "  I  think  Mme.  de  Chaulnes  is  a 
beautiful  old  lady  like  a  fee  Marraine." 

Little  Anne's  tongue  did  a  great  deal  of  mischief 
to  his  father  that  night,  and  the  adventure  ended 
with  his  being  smuggled  out  to  France,  from  which 
country,  so  perilous  at  that  time  to  the  aristocrats, 
he  was  rescued  after  excitirg  adventures  by  M.  de  la 
Vireville. 

But  Anne's  are  not  the  only  adventures  in  this 
exciting  story.  Far  from  it.  The  whole  book 
teems  with  exciting  episodes,  and  lovers  of  his- 
torical romance  will  find  much  to  delight  them  in 
its  pages. 

H.  H. 


IN    GOOD    CHILDREN     STREET. 

There's  a  dear  little  home  in  Good  Children  Street, 
Where  my  heart  turneth  fondly  to-day ; 

Where  tinkle  of  tongues  and  patter  of  feet 
Make  sweetest  of  music  at  play ; 

Where  the  sunshine  of  love  illumines  each  face 

And  warms  every  heart  in  the  old-fashioned  place. 

For  dear  little  children  go  romping  about. 

With  dollies  and  tin  tops  and  drums. 
And  my  !   how  they  frolic  and  scamper  and  shout, 
Oh,  the  days  they  are  golden  and  days  they  are 

fleet 
With  the  dear  little  folks  in  Good  Children  Street. 

Eugene  Field. 


COMING    EVENTS. 

July  4th. — Royal  British  Nurses'  Association. 
General  Council  Meeting.  10,  Orchard  Street, 
Portman  Square,  W.     2-45  p.rn. 

July  6th. — Central  Committee  for  the  State 
Registration  of  Nurses.  Council  Chamber, 
British  Medical  Association,  429,  Strand,  London, 
W.C.     2.30  p.m. 


LETTERS  TO  THE  EDITOR. 

Whilst  cordially  inviting  communications  upon 
all  subjects  Jor  these  columns,  we  wish  it  to  bt 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

THE  COST  OF  PROPAGANDA. 

To  the  Editor  0}  The  British  Journal  of  Nursing. 
Dear  Madam, — Every  member  of  the  Society 
for  State  Registration  of  Nurses  and  also  all 
trained  nurses  who  have  any  sense  of  professional 
responsibility,  owe  The  British  Journal  of 
Nursing  a  great  debt  for  the  most  comprehensive 
official  Report  of  the  work  of  the  Society,  and 
the  manner  in  which  our  professional  interests 
have  been  safeguarded,  which  filled  fourteen 
columns  of  space  in  last  week's  issue.  I  wonder 
how  many  of  your  readers  realized  the  cost  of  the 
production  of  such  a  Report — the  year's  voluntary 
labour,  the  compiling,  reporting,  transcribing, 
editing,  printing,  paper  and  publication.  In 
these  days  of  costly  labour,  such  results  could 
not  have  been  attained  by  the  expenditure  of  ;^2o 
— if  at  that.  I  know  few  of  my  colleagues  art 
women  of  business,  but  many  of  them  appreciate 
the  labour  and  financial  expenditure  upon  their 
behalf  ;  and  I  venture  to  suggest  that  those  who 
are  able  to  do  so  should  send  a  subscription  to 
the  Hon.  Secretary  of  the  Society  for  State 
Registration,  at  431,  Oxford  Street,  towards 
the  expense  of  producing  this  invaluable  Report. 

I  am.  Madam, 

Yours  gratefully, 

Henrietta  Hawkins. 

ONE    AND    INDIVISIBLE. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — The  British  Journal  of 
Nursing  confirms  my  understanding  on  the 
subject  of  the  affiliated  societies  for  State  Registra- 
tion. I  am  so  very  glad  that  we  have  agam 
joined  up  with  the  R.B.N. A.,  and  enclose  to  you 
what  I  deem  a  thankoffering  on  "  St.  John's  Day," 
towards  our  aims  for  State  Registration,  as  you 
described  it,  "  all  one  and  indivisible  making  the 
perfect  circle." 

Sincerely  trusting  our  "  sweet  reasonableness  " 
will  continue. 

Believe  me,   yours  as  ever,  also 

A  Life  Memricr  of  R.B.N. A. 

1st  South  African  General  Hospital, 
B.E.F.,  France. 


July  6,   1918 


^be  Britieb  3onrnal  of  IRureiufl. 


«7 


RECIPROCAL   TRAINING     FOR    MENTAL 
NURSES. 

To  the  Editor  o/The  British  Journal  of  Nursing. 

Dear  Madam, — A  recent  issue  of  The  British 
Journal  of  Nursing  contains  an  account  of 
the  annual  meeting  of  the  Asyhim  Workers' 
Association  held  at  the  Mansion  House  under  the 
presidency  of  the  Lord  Mayor  ;  and  one  of  the 
speakers,  Captain  Kirkland-Whittaker,  M.D.  called 
attention  to  some  advertisements  appearing  in 
a  contemporary  nursing  paper,  emanating  from 
one  or  two  asylums,  inviting  candidates  for  the 
posts  of  Matron  and  Assistant  Matron,  and 
specifying  that  such  candidates  should  have 
received  both  training  in  a  general  hospital  and 
hold  the  Medico-Psychological  certificate — that 
is  to  say,  they  should  have  been  trained  in  both 
general  and  mental  hospitals. 

A  nurse  in  a  mental  hospital  has,  ordinarily, 
no  opportunity  of  satisfying  these  requirements  of 
general  hospital  training,  and  if  she  has  already 
thought  of  devoting  her  life  to  mental  work,  the 
fact  that  the  higher  posts  in  asylums  are  barred 
against  her,  must  give  hei  seriously  to  consider 
whether  it  is  worth  ber  while  to  remain  in  mental 
work. 

To  obtain  the  Medico-Psychological  certificate, 
three  years'  training  in  a  mental  hospital  are 
required  ;  while  to  obtain  a  certificate  of  general 
training,  the  same  period  is  demanded.  The 
nurse  who  is  trained  in  both  institutions  would 
certainly  be  fully-equipped  and  eligible  for  the 
higher  positions,  and  this  either  in  a  general 
or  mental  hospital.  This  would  be  an  ideal 
training  and  one  I  should  personally  recommend, 
but  it  must  not  be  forgotten  that  a  nurse  who  left 
asylum  work  to  spend  three  years  in  general 
hospital  training  would  lose  the  benefits  of  the 
Asylum  Officers'  Superannuation  Act,  as  far  as 
her  previous  yeais  of  service  were  concerned, 
unless  by  some  arrangement  with  the  asylum 
authorities  she  could  still  be  regarded  as  being 
"  on  the  strength." 

It  would  certainly  be  of  the  greatest  advantage 
to  a  nurse  to  be  trained  in  both  general  and  mental 
hospitals,  for  each  of  these  institutions  would 
contribute  towards  the  development  of  the 
qualities  of  tact,  organisation,  discipline,  &c., 
so  essential  for  making  the  nurse  thoroughly 
efi&cient  in  her  work  and  fit  her  for  responsibility 
in  either  institution. 

At  the  same  time,  seeing  that  the  training  in 
both  general  and  mental  hospitals  covers,  to 
some  extent,  the  same  ground,  one  is  tempted 
to  ask,  whether  a  full  three  yeaxs  of  training  in 
each  institution  should  be  made  a  sine  qua  nan. 
For  instance,  if  a  nurse  has  received  a  certificate 
of  three  years'  training  at  a  general  hospital,  she 
is  allowed  to  sit  for  the  Medico-Psychological 
certificate  after  two  years  of  training  in  a  mental 
hospital,  yet,  on  the  other  hand,  the  nurse  who 
has  received  the  Medico-Psychological  c^tificate 
is   not   allowed  to  proceed  to  the  certificate  in 


general  nursing,  after  a  similar  experience  in  the 
general  hospital. 

Bel' eve  me,  yours  truly, 

Mary  Lord, 
Matron,  Banstead  Mental  Hospital. 
[We  regret  that  lack  of  space  compels  us  to  hold 
over  a  most   interesting  letter   on  this  question 
from   Dr.   George   M.   Robertson,   of    the   Rjyal 
Edinburgh  Asylum. — Ed.] 


KERNELS     FROM    CORRESPONDENCE, 

E.  G.  Fosbroke. — "  I  have  had  to  attend 
many  cases  of  scabies  lately  amongst  quite  clean 
people,  who,  owing  to  expense,  have  given  up 
wearing  gloves.  As  it  was  usually  on  the  left 
hand,  I  wonder  if  the  infection  comes  from  touching 
the  brass  handle  in  mounting  busses — or  can 
your|]readers  suggest  another  source  ?  " 

A  Red  Cross  Nurse  writes  : — "  How  about  the 
dangers  of  inexperienced  Commandants  and 
Quarter  Masters  (girls  often  just  out  of  their 
teens)  and  fires  in  Red  Cross  Hospitals  ?  I  have 
known  the  kitchen  chimney  left  unswept  for  six 
months  at  a  time,  and  been  told  '  to  mind  my  own 
business  '  when  I  suggested  the  danger  of  fire  with 
blocked  flues.  I  see  another  fine  War  Hospital 
has  been  burnt  down.  '  Sparks  from  the  kitchen 
chimney  ignited  the  roof,'  to  be  observed  by  a 
gardener.  When  was  the  kitchen  chimney  at 
Oakwood  Hall  swept  last  ?  " 


Another  Dublin  Sister  \vrites: — "  I  also  want  to 
protest  against  English  Nurses  subsidising  the 
College  of  Nursing  Irish  Board.  Unless  it  is  self- 
supporting  it  should  be  closed  down.  We  Irish 
nurses  object  to  it  on  every  count.  It  has  been 
thrust  upon  Ireland  by  the  trainees  of  St.  Thomas' 
Hospital.  It  will  always  be  an  apple  of  discord 
here.  We  mean  to  have  Home  Rule  professionally, 
as  Irish  doctors  do,  and  we  told  Sir  Arthur  Stanley 
so  when  he  was  recently  over  here." 


OUR    PRIZE    COMPETITION. 

July  i^th. — What  points  would  you  endeavour 
to  impress  upon  a  mother  as  cf  primary  importance 
for  the  rearing  of  a  healthy  baby  ? 
'July  20th. — State  fully  how  you  would  disinfect 
a  bedroom  and  its  furnishings. 


TERMS  FOR    "  BRITISH    JOURNAL     OF 
NURSING." 

Do  not  fail  to  order  The  British  Journal  of 
Nursing  through  your  newsagent,  price  2d.  per 
week.  If  you  prefer  to  subscribe  the  Journal 
costs  lOG.  lod.  annually,  5s.  6d.  for  six  months,  or 
2S.  9d.  for  three  months.     Abroad,  13s.  4d. 

Trained  Nurses  who  are  members  of  organised 
Nurses'  Societies  are  given  preferential  terms  of 
6s.  6d.  annually. 

Apply  to  the  Manager,  British  Journal  of 
Nursing,  431,  Oxford_Street,  London,  W.  i,     . 


iS 


^he  3Br!ti0b  3ournaI  of  "Wurelnc  Supplement. 

The 


July  6,   1918 


NATIONAL  BABY  WEEK. 


CONFERENCE  AND  EXHIBITION. 

On  Monday,  July  ist,  the  National  Conference 
on  Maternal  and  Infant  Welfare  and  the  Educa- 
tional Mothercraft  Exhibition  were  opened  at  the 
Central  Hall,  Westminster, 
by  the  Dowager  Mar- 
chioness ol  Londondeiiy, 
who  said  it  afforded  her 
the  greatest  possible 
pleasure  to  open  an 
exhibition  of  eveiy  possible 
appliance  for  bringing  /^up 
children  in  the  best 
raanner.  So  many  chil- 
dren were  born  and  so 
few  came  to  maturity 
that  she  welcomed  any 
knowledge  which  would 
teach  mothers  and  po- 
tential mothers — as  well  as 
fathers — to  bring  up  thejr 
children  healthy  and  well. 

On  behalf  of  the 
National  Union  of  Women 
Workers  of  Great  Britain 
and  Ireland,  whose  Child 
Welfare  Committee  orga- 
nized the  Exhibition,  the 
President  5  (Mrs  Ogilvit 
Gordon)  expressed  its 
thanks  to  Lady  London- 
derry 

At  three  o'clock,  the 
Conference  was  inauguiated 
by  a  Mass  2"  Meeting,  at 
which  •  Major  Waldorf 
Astor       pi  esided.  Alter 

paying  a  tribute  to  Lord 
Rhondda,  who,  when  at 
the  Local  Government 
Board,  with  the  true 
instincts  of  a  statesman, 
had  grasped  the  funda- 
mental principle  that  the 
horrible  waste  of  child 
life  must  be  reduced  and 
that  the  immediate  creation 
of  a  Ministry  of  Health 
was  a  necessity,  to  co- 
ordinate the  Health  efforts  of  all  Departments, 
he  spoke  of  the  Departmental  jealousy  which 
delayed  such  co-ordination,  and  said  that  the 
first  essential  was  the  amalgamation  of  existing 
officials  in  a  department  engaged  in  fighting 
against  disease,  instead  of  their  being  engaged  in 
fighting  one  another. 

I    The  first  speaker  was  the  Bishcp  of  Birmingham 
who  moved  the  following  resolution : — 


MOTHERHOOD. 


"  This  meeting  being  confidently  assured  that 
the  existing  rate  of  infant  mortality  is  unnecessary 
and  uneconomic  and  the  cause  of  much  misery, 
calls  upon  the  electois  to  demand  complete  and 
effective  action  from  all  candidates  for  and 
Members  of  Parliament  or  Municipal  Councils 
for  the  better  protection  of 
the  mothers  and  children 
of  the  Nation  " 

Referring  to  environ- 
ment as  it  affects  the  mother 
and  child,  he  said  there 
were  two  main  influences 
on  the  character  of  a  child — 
one  heredity  the  other  en- 
vironment There  might  be 
some  difference  of  opinion 
as  to  the  effect  of  heredity, 
but  there  was  none  as  to 
environment.  He  instanced 
the  boys  brought  up  in 
Poor  Law  schools,  98  per 
cent,  of  whom  did  well 
because  their  characters  de- 
veloped in  good  conditions. 
No  true  community,  said 
the  Bishop,  could  shirk 
its  duty  to  the  np-growi  ng 
citizen,  and  had  no  right 
to  expect  to  endure  if  it 
neglected  infant  life.  We 
asked  of  the  State  that  it 
should  safeguard  the  mother 
and  child,  that  girls  should 
understand  the  sacred  duty 
of  their  ofhce,  and  receive 
due  instruction  in  their 
future  duties.  He  hoped 
no  girl  would  grow  up 
without  three  months'  ex- 
perience in  these  matters  ; 
he  would  prefer  to  substi- 
tute years  for  months. 

Then  there  was  the  wage 
problem.  No  married  man 
should  receive  pay  which 
did  not  enable  him  to  sup- 
port his  wife  who  was 
bearing  children.  There 
was  also  the  problem  of  the 
unmarried  mother.  What- 
ever the  moral  offence  of  the  father  or  mother,  the 
child  should  not  suffer. 

Mrs.  Pember  Reeves  had  said  that  motherhood 
was  the  most  sweated  and  the  worst  paid  of  all 
the  professions.  He  refused  to  ask  people  to  have 
numbers  of  children  under  ^\Tetched  conditions 
and  unsuitable  environment.  A  Department  of 
Government  was  required  to  deal  with  these 
matters.     At  present  the  child  was  struggled  for 


July  6,  1918      (jbc  Brttieb  3ournal  ot  l^uretna  Supplement 


19 


by  many  Departments  and  was  in  danger  of  being 
dismembered.  The  country  was  expectant  to-day 
but  it  would  not  always  be  patient,  even  with 
Parliament.  He  had  pleasure  in  moving  the 
resolution. 

Sir  Owen  Seaman,  in  supporting  the  resolution, 
claimed  that  eveiy  child  at  birth  should  have  an 
equal  chance  of  life. 

Mrs.  H.  B.  Irving  sympathetically  and  elo- 
quently pleaded  for  pensions  for  wndows.  The 
right  of  every  baby  was  a  mother  to  feed  it,  a 
father  to  work  for  and  protect  it.  Many  of  Britain's 
babies  were  fatherless.  The  mothers  should  be 
assisted  by  the  State. 

Mr.  Ben  TiHett  spoke  on  the  relationship  of 
the  State  towards  the  expectant  mother  ;  and 
Dr.  Truby  King  insisted  that  unpreparedness  for 
motherhood  was  a  main  handicap  of  modern 
civilization. 

The  resolution  was  carried  unanimously. 

On  both  Wednesday  and  Thursday  interesting 
and  instructive  addresses  and  lectures  were  given. 

THE    EXHIBITION. 

An  extremely  interesting  exhibition,  open  from 
10.30  a.m.  to  8  p.m.  throughout  the  week,  aims 
at  the  education  of  the  infant  welfare  worker 
and  presents  to  the  public  the  general  scope  and 
varied  aspects  of  the  movement  for  the  care  of 
mothers  and  children. 

MOTHERCRAFT. 

In  the  section  devoted  to  Mothercraft,  as 
taught  in  the  elementary  schools.  Mis.  Truelove, 
L.C.C.  School,  ToUington  Park,  exhibits  articles 
used  by  girls  attending  mother-craft  classes. 
Simple  but  effective  is  the  baby's  basket, 
costing  only  8Jd.,  i.e.,  a  strawbery  basket  id., 
pink  sateen  3d.,  muslin  4jd.  An  oval  glass, 
originally  a  potted  meat  dish,  serves  as  a  soap 
dish,  and  other  fittings  are  quite  inexpensive. 

The  Battersea  Polytechnic,  where  a  thorough 
training  is  given  extending  over  a  year,  and 
recognised  by  the  Local  Government  Board,  show 
sets  of  infants'  clothes  made  by  students.  A 
feature  is  a  collection  of  soaps  suitable  and 
unsuitable  for  infants  (mostly  the  latter).  The 
test  of  phenolphthalein  is  applied,  and  if  it  is 
unsuited  for  a  baby's  use,  the  soap  turns  a  deep 
pink. 

Clean  Milk. 

The  model  of  a  modern  cowbarn  made  to  scale 
at  the  Lord  Roberts'  Memorial  Workshops,  and 
a  second  of  a  dirty  and  unventilated  barn  actually 
in  existence,  is  an  object  lesson  in  the  necessity  for 
clean  dairy  farms. 

Women's  League  of  Service. 

By  the  kindness  of  Mrs.  O'Rourke,  of  the 
Women's  League  of  Service  for  Motherhood, 
128,  Pentonville  Road,  London,  N.  i,  we  are  able 
to  reproduce  their  striking  poster  of  a  working- 
class  mother  and  her  infant.  Their  exhibit  is  a 
reproduction  of  their  dining-room  for  mothers  and 
children,  showing  equipment  and  menus.  There 
was  the  dining-table  for  toddlers,    whose  meal  is 


served  fiist,  and  then  they^are  cared  for  in  another 
room  while  the  mothers  sit  down,  free  from  dis- 
ti action,  'to  a  well-cooked  and  well-served  meal 
at  a  cost  to  themselves  of  2d. 

MiDWivEs'  Institute. 
The  Midwives'  Institute  have  arranged  a 
midwife's  room  containing  the  necessary  equip- 
ment for  the  efficient  booking  of  patients,  including 
various  charts  for  ante-natal  records  exhibited  by 
practising  midwives ;  also  apparatus  used  by 
teachers  of  midwifery  when  preparing  pupils  for 
the  examination  of  the  Central  Midwives'  Board. 

Maternity  Hostel. 
The  Maternity  Hostel  arranged  by  the  Croydon 
Mothers'  and  Infant  Welfare  Association  is  very 
complete,  including  a  well-equipped  labour  ward 
and  a  lying-in  ward.  The  new  jointless  flooring 
supplied  by  the  British  Doloment  Co.,  Ltd.,  is 
utilized  with  good  result. 

Sydenham  Infant  Welfare  Centre. 
The  Sydenham  Infant  Welfare  Centre  of  Adams- 
rill  Road,  S.E.,  has  arranged  (i)  a  ward  for  ailing 
babies,  (2)  other  equipment.  Paiticularly  note- 
worthy is  the  fitted  ohelf  for  the  soap,  towels,  &c., 
used  lor  different  babies.  The  soap  is  in  its  own 
numbered  dish,  and  each  towel  and  washer  is 
numbered  and  kept  apart. 

St.  Pancras  School  for  Mothers. 

The  St.  Pancras  School  for  Mothers — the 
doyenne  of  such  schools — has  arranged  an  Infant 
Welfare  Centre,  showing  the  methods  followed 
and  the  equipment  required  for  weighing  the 
babies,  &c.  On  the  walls  are  educative  posters, 
case  papers  and  card  indexes  form  part  of  the  well- 
ordered  equipment. 

Even  more  interesting  is  the  second  section  of 
this  exhibit,  a  room,  eleven  feet  by  twelve  in 
a  hostel  for  working  mothers.  The  room  is 
intended  for  a  mother  and  one  or  two  children 
whose  husband  is  at  the  war  ;  or  for  a  munition 
worker.  The  floor  is  covered  with  black 
and  white  linoleum.  The  convenient  wpoden 
furniture  made  by  the  boys  of  the  Technical 
Institute,  Shoreditch,  can  all  be  easily  scrubbed, 
spotless  curtains  hang  at  the  open  window,  the 
mother's  bed  is  covered  with  a  bright  quilt.  By 
her  side  is  the  baby's  cot,  a  cheerful  rug  is  laid 
down  in  front  of  the  fire,  a  clothes-horse  is  con- 
verted into  a  screen.  There  is  a  small  chart  for 
the  baby,  as  well  as  the  other  necessaiy  equipment 
including  a  dresser  with  bright  coloured  crockery. 
The  baby's  larder,  in  which  the  milk  for  his  use  is 
kept,  was  designed  by  a  father.  There  is  a  hay- 
box  for  cooking,  such  as  is  now  used  by  many 
frugal  mothers,  and  a  charming  diminutive  gas 
cooker  supplied  by  the  London  Light  &  Coke  Co. 
It  is  a  most  attractive  little  home. 
f  --  !  Eugenics. 

An  interesting  exhibit  is  that  lent  by  the 
Eugenics  Education  Society,  n,  Lincoln's  Inn 
Fields.  A  selection  of  striking  posters  are  illus- 
trative of  the  veirious  aspects  of  syphilis.  


ib 


abc  Brlttsb  3ournai  of  ihurBtno  Suppletneht      My  6,  191S 


NORTH    ISLINGTON  MATERNITY 
CENTRE  AND  SCHOOL  FOR  MOTHERS- 

There  are  1,200  Infant  Welfeire  Centres,  or 
Schools  for  Mothers,  or  Babies'  Welcomes  (which- 
ever you  like  to  call  them,  they  are  practically 
intterchangeable  terms)  in  the  kingdom.  No  doubt 
all  are  doing  excellent  work. 

Having  a  little  time  and  much  inclination,  and 
having  consulted  the  Superintendent  on  the  tele- 
phone as  to  her  convenience  in  the  matter,  I  paid 
a  visit  to  the  North  Islington  School  on  June  28th. 
During  the  five  years  of  its  existence  it  has  grown 
rapidly.  The  premises  consist  of  two  adjoining 
semi-detached  houses  in  Manor  Gardens,  which 
stand  in  a  fair-sized  garden.  The  exquisite  cleanli- 
ness and  order  of  the  whole  place  is  the  first  thing 
that  strikes  the  visitor.  The  next  is  the  extreme 
cordiality  and  courtesy  of  the  Superintendent,  Miss 
Le  Geyt,  who,  although  obviously  very  busy,  takes 
her  visitors  round — there  were  several  on  this 
occasion — explaining  everything  with  pardonable 
pride.  There  are  rooms  of  a  good  size  for  every 
purpose :  Weighing-rooms,  consultation-rooms, 
lecture-rooms,  a  room  for  social  gatherings. 

There  are  three  main  factors  in  every  school  for 
mothers,  namely  :  —  i.  Infant  consultations. 
2.  Classes.  3.  Home  visiting.  This  forms  the 
basis  of  all  the  rest  of  the  work.  Here,  as  else- 
where, great  attention  is  paid  to  these  essentials. 
But  the  activities  of  the  North  Ishngton  School  do 
not  end  here.  Dinners  for  expectant  and  nursing 
mothers  are  provided  by  the  Invalid  Kitchens  of 
London,  which  rent  four  rooms  at  the  school.  The 
L.C.C.  also  use  it  as  a  dental  clinic  for  ele- 
mentary school  children  two  er  three  times  a  week. 
One  of  the  nurses  is  employed  to  attend  the  dentist 
and  keep  the  lecords.  Ancther  room  is  fitted  up 
as  a  surgery  for  the  treatment  of  minor  ailments 
and  for  the  instruction  of  the  mothers  in  such 
treatment. 

'  The  records  of  the  Centre  are  kept  by  means  of 
a  card  index  system.  Case  papers  take  the  form 
of  cardS' — ^pink  for  girls,  blue  for  boys,  grey  for  the 
expectant  mothers,  and  white  for  the  visitors.  A 
,  ch£irt  of  the  child's  weight  is  attached  to  the  case 
paper. 

The  stafi  includes  the  Superintendent  and 
several  other  nurses,  some  of  them  resident. 
About  thirty-seven  voluntary  workers,  most  of 
whom  are  visitors,  also  two  women  medical  officers. 
The  most  recent  development  of  the  work  is  an 
infants'  ward  with  accommodation  for  about 
fifteen  ailing  babies.  Children  who  are  not  ill 
enough  to  be  taken  into  a  hospital,  and  yet  require 
to  be  under  observation  and  have  skilled  care  and 
attention.  Dr.  Truby  King  has  visited  the  school 
and  given  an  address  there.  His  comment  is  that 
it  is  first-rate — the  real  thing.  From  such  an 
authority  this  is  praise  indeed,  and  Miss  Le  Geyt 
values  it  as  such.  Certainly  no  Institution  of  the 
kind  could  be  better. 

B.  K. 


POST   GRADUATE    WEEK    FOR 

MIDWIVES    AT  YORK    ROAD    LYING-IN 

HOSPITAL. 

On  June  26th,  a  party  of  post-graduates  visited 
Queen  Charlotte's  Lying-in  Hospital.  Here  they 
were  received  most  courteously  by  the  Matron, 
who  deputed  one  of  the  Sisters  to  escort  the 
numerous  visitors  round  the  wards  of  the  hospital. 

Many  interesting  cases  were  pointed  out  and 
described,  the  midwives  eagerly  reading  the  notes 
on  the  very  comprehensive  case  papers.  The 
babies,  as  usual,  came  in  for  a  large  amount  of 
admiration,  for  midwives  like  mothers,  seem  to 
have  an  inexhaustible  stock  of  love  for  infants,  and 
one  unusually  fine  or  charming  drew  forth  universal 
appreciation.  The  tiny  "  prem  "  was  in  a  tent 
made  of  blankets  and  warmed  by  an  electric 
lamp.  At  Queen  Charlotte's  they  do  not  use 
incubators.  Blankets  are  considered  preferable 
to  cotton  covering  on  account  of  their  being 
porous. 

One  small  ward  was  a  centre  of  interest,  as  it 
contained  two  Caesarian  section  cases,  and  one 
bad  case  of  mitral  disease. 

The  labour  wards  are  roomy  and  thoroughly 
equipped,  and  are  used  in  turn.  This  arrange- 
ment enables  each  ward  to  be  thoroughly  "  spring 
cleaned  "  each  month. 

Adjoining  the  hospital  is  the  ante-natal  and 
infant  clinic  department. 

At  the  conclusion  of  the  visit,  tea  was  most 
kindly   provided   by   the  Matron  in   the   pupils' 
lecture   room,    and    so   a    very   instructive    and 
pleasant  afternoon  was  brought  to  a  close. 
Examination. 

As  the  result  of  the  examination  held  at  the 
conclusion  of  the  week,  the  first  prize  was  awarded 
to  Mrs.  Walters  (trained  at  the  General  Lying-in 
Hospital)  and  the  second  prize  to  I\lrs.  McLaren. 


A  nursery  hospital  for  15  babies  suffering  from 
marasmus,  &c.,  has  been  opened  under  the  auspices 
of  the  Birmingham  Public  Health  Comnuttee.  It 
affords  an  opportunity  for  gaining  or  increasing 
experience  in  the  treatment  and  physiological 
feeding  advocated  by  Dr.  Holt  and  Dr.  Eric 
Pritchard.  Volunteers  interested  in  this  form  of 
war  work  may  write  for  particulars  to  Miss 
Margesson,  Nursery  Hospital,  Bcirnt  Green,  near 
Birmingham. 


The  Midwives  Bill,  to  amend  the  Midwives 
Act,  T902,  was  considered  by  the  House  of  Lords 
in  Committee  on  July  2nd.  On  the  motion  of 
the  Marquess  of  Salisbury  the  contentious  and 
objectionable  Clause  (Clause  12)  was  struck  out  of 
the  Bill.  Lord  SaUsbury  then  moved  the  inser- 
tion of  a  new  Clause,  i.e.,  "Section  nine  of  the 
principal  Act  (which  enables  county  councils  to 
delegate  their  powers  and  duties  to  district 
councils)  shall  be  repealed."  So  far  so  good. 
Friends  of  midwives  must  now  watch  the  Bill  in 
the  House  of  Commons. 


THE 


iUHMPWStG 


WITH  WHICH  IS  INCORPORATED 
EDITED  BY  MRS  BEDFORD  FENWICK 


No.  1,580. 


SATURDAY,   JULY    13,    1918. 


Vol.    LXI 


EDITORIAL. 


OUTSIDE    THE    PALE— LONDON     HOSPITAL 
NURSE5. 

The  following  instructive  discussion  took 
place  in  the  House  of  Commons  on 
July  4th  : — 

Major  Chappie  asked  the  Chancellor  of 
the  Exchequer  whether  his  attention  had 
been  called  to  the  existence  of  a  system  of 
farming  out  of  nurses  in  the  London 
Hospital  under  which  nurses  were  taken 
from  their  training  in  the  wards  at  the  end 
of  their  second  year,  were  paid  13s.  per 
week,  and  sent  out  to  nurse  as  trained 
nurses  in  private  cases  at  £2  2s.  per  week, 
the  hospital  profiting  by  this  means  to  the 
extent  of  over  £6,000  per  year  before  the 
w^ar  ;  and  whether  he  intended  to  introduce 
legislation  to  protect  nurses  and  patients 
from  this  system. 

Mr.  Walsh,  Parliamentary  Secretary  to 
the  Local  Government  Board,  who  replied, 
said : — The  arrangements  made  by  the 
London  Hospital  with  their  nurses  are  not 
a  matter  over  which  the  Government  have 
any  control.  There  is  no  intention  of  in- 
troducing legislation  on  the  subject. 

Sir  C.  Henry  :  Has  the  hon.  member 
satisfied  himself  of  the  accuracy  of  the 
statements  in  the  question  ? 

Captain  Carr-Gomm  :  Are  not  the  state- 
ments in  the  question  of  a  controversial 
character,  and  is  not  the  expression  "farm- 
ing out,"  though  perhaps  picturesque,  very 
unfair  to  an  institution  which  has  done 
much  good  work  for  a  great  number  of 
years  ? 

Major  Chappie  :  Is  my  hon.  friend  not 
aware  that  the  London  Hospital  is  the  only 
great  hospital  which  takes  its  nurses  from 
their  training  in  the  wards  at  the  end  of  the 
second   year,    and    admittedly    pays  them 


only  13s.  a  week  while  it  draws  two  guineas 
a  week  ? 

The  Speaker :  This  question  should  not 
have  appeared  on  the  paper.  No  Govern- 
ment Department  has  any  control  over  the 
affairs  of  the  London  Hospital.  If  my 
attention  had  been  called  to  the  preamble 
of  the  question  I  should  have  struck  it  out. 

We  are  all  conversant  with  the  com- 
mercialism of  the  Nursing  Department  of 
the  London  Hospital.  No  doubt  it  will  pass 
with  the  present  Prussianised  incarnation, 
but  what  is  of  vast  importance  to  the 
nursing  profession,  as  a  whole,  is  the  un- 
blushing confession  of  the  Parliamentary 
Secretary  to  the  Local  Government  Board 
that  arrangements  made  by  employers  of 
voluntary  charitable  institutions,  in  connec- 
tion with  workers  under  their  control,  no 
matter  how  injurious  they  may  be,  are 
beyond  the  power  of  Parliament.  Again, 
the  Speaker,  in  supporting  this  view,  boldly 
said  had  his  attention  been  called  to  the 
preamble  of  the  question  he  would  have 
struck  it  out ! 

In  our  opinion  this  is  a  most  Indefensible 
attitude  for  Parliament  to  assume  in  relation 
to  any  class  of  worker.  Here  we  have  a 
class  of  women  whose  work  in  civilian  and 
military  hospitals,  and  in  the  homes  of  rich 
and  poor  is  of  the  utmost  value  to  the  well- 
being  of  the  State,  and  we  find  members  of 
Parliament — to  whose  emoluments  many  of 
these  workers  are  compelled  to  subscribe, 
calmly  repudiating  all  responsibility  for 
their  conditions  of  labour.  By  what  right, 
human  or  divine,  are  hospital  governors 
empowered  to  treat  their  nursing  staffs  as 
helots,  to  work  them  and  exploit  them  as 
they  please  ?  We  are  not  living  in  pre- 
Reformation  days  when  the  religious  houses 
were  barred  and  bolted,  and  their  conduct 
above  the  control  of  the  State,  and  that  is 


22 


Zbc  Brtttsb  3ournal  of  •Ruratno. 


July   13,    1918 


the  position  claimed  by  Mr.  Speaker  for  the 
London  Hospital  in  this  year  of  grace.  It 
is  amazing! 

Do  not  let  us  forget,  however,  that  there 
is  no  Act  on  the  Statute  Book  for  the 
protection  of  trained  nurses,  and  until  we 
get  a  modern  Parliament  we  fear  no  just 
Act  will  be  enforced.  We  trained  nurses 
must  not  fail  to  realise  the  significance  of 
Mr.  Speaker's  attitude  towards  us.  It  is 
indeed  high  time  some  Government  Depart- 
ment was  given  control  over  every  institution 
where  persons  assume  arrogant  authority 
over  the  lives  of  their  fellows. 

The  subtle  provisions  for  the  perpetuation 
of  this  unrestricted  control  by  Nurse  Train- 
ing Schools  is  what  we  have  been  fighting 
in  the  draft  Bill,  seven  times  revised,  by 
hospital  governors  and  officials  who  control 
the  College  of  Nursing,  Limited. 


OUR    PRIZE    COMPETITION. 


WHAT  POINTS  WOULD  YOU  ENDEAVOUR  TO  IMPRESS 

UPON  A  MOTHER  A5  OF   PRIMARY  IMPORTANCE  FOR 

THE   REARING   OF   A   HEALTHY   BABY? 

We  have  pleasure  in  awarding  the  prize  this 
week  to  Miss  Theodora  Harris,  Slack  Lane, 
Derby. 

PRIZE     PAPER. 

I  should  endeavour  to  impress  on  the  mother 
the  following  points  as  essential  to  the  suc- 
cessful rearing  of  a  healthy  baby  : — 

I.  That  Nature's  way  is  always  the  best,  and 
that  to  keep  to  the  plans  of  Nature  will  ensure 
the  best  results.  Nature  intended  breast- 
feeding, therefore  breast-feeding  is  the  right 
method.  But  to  ensure  her  infant  getting  the 
full  value  from  its  natural  food  the  mother  must 
bear  in  mind  the  following  points  : — 

(a)  That  her  own  physical  health  must  be 
safeguarded  by  abundance  (if  possible)  of  plain, 
.  nourishing  food  and  milk ;  by  sufficient  sleep 
and  rest ;  by  sufficient  work,  exercise,  and  fresh 
air;  and  by  the  avoidance  of  constipation,  hot 
rooms,  and  any  other  unhealthy  condition. 

(h)  That  her  mental  condition  must  be  kept  as 
healthful  and  peaceful  as  possible,  and  agita- 
tions, excitements,  fits  of  passion,  &c.,  strictly 
avoided  as  far  as  is  possible.  An  anxious, 
worried,  or  angry  mother  will  find  her  milk 
suffer. 

If  from  any  unusual  cause  it  is  absolutely 
necessary  to  feed  the  baby  artificially  (and  a 
baby  should  not  be  weaned  except  under 
medical  advice,  as  a  condition  serious  enough 


to  necessitate  weaning  would  be  serious  enough 
to  necessitate  a  doctor's  attendance),  the  arti- 
ficial feeding  must  adhere  as  closely  as  possible 
to  Nature's  plan,  and,  in  that  case,  I  should 
advise  the  mother  to  procure  a  pamphlet  (price 
2d.)  by  Dr.  Eric  Pritchard  on  "  Artificial  Feed- 
ing," and  follow  the  directions  closely.  No 
other  food  must,  of  course,  be  given — no 
"bits." 

2.  Regularity  in  all  things  :  regular  three- 
hourly  feeding;  regularity  in  holding  out,  so 
that  the  infant  is  soon  habituated  to  connect 
certain  times  with  certain  things  ;  regular  hours 
for  putting  to  bed,  for  getting  up,  for  bathing, 
&c.  An  infant's  life  should  go  by  clockwork, 
not  only  for  the  sake  of  present  comfort  and 
health,  but  also  for  the  sake  of  educating  the 
child.  An  infant's  education  begins  on  the  first 
day  of  its  life  :  in  the  first  few  hours  he  is  being 
taught  habits,  either  good  or  bad. 

3.  Fresh  air  is  an  essential  whatever  the 
season,  and  the  windows  should  never  be  shut, 
except  just  at  bath-time.  Baby  should  spend 
a  large  portion  of  his  time  in  the  open  air,  not 
with  the  sun  beating  on  him,  and  not  inside  the 
leather  hood  of  a  perambulator,  and  not  with 
his  face  covered  with  muslin.  If  a  garden  is 
available,  it  is  a  good  plan  to  place  a  cot  under 
a  tree,  and  allow  him  to  sleep  there.  A  per- 
ambulator is  too  cramped  to  sleep  in. 

4.  Which  brings  us  to  another  point — 
rational  clothing.  Away  with'  stiff  binder,  linen 
shirt,  &c.,  and  supplant  them  with  loose, 
knitted  wool  vest  and  binder,  high  neck  and 
long  sleeves,  no  head  flannel,  and  gowns  that 
do  not  pin  up  over  the  feet,  but  allow  for 
exercise. 

5.  Absolute  cleanliness  for  the  baby  and  all 
appertaining  to  him  is  a  point  the  importance 
of  which  cannot  be  over-estimated,  and  too 
much  stress  cannot  be  laid  on  the  dangers 
arising  from  lack  of  it. 

6.  Sleep  and  rest  are  things  many  babies  are 
deprived  of.  A  baby  should  sleep  most  of  his 
life  that  is  not  occupied  by  feeding  and  bathing. 
He  should  be  allowed  to  be  peaceful  when 
awake,  and  not  be  "on  show  "  to  friends  and 
relatives,  who  endeavour  to  attract  his  atten- 
tion ;  that  way  lies  a  nervous  child.  Give  baby 
every  needful  attention,  and  then  judiciously 
let  him  al&ne.  It  is  as  bad  to  deprive  a  baby  of 
sleep  as  to  deprive  it  of  food. 

7.  Baby  must  have  a  separate  bed,  be  it  but 
a  clothes-basket  or  orange-crate,  and  with  no 
curtains  to  keep  out  the  air.  An  orange-crate 
and  a  mattress  of  chopped  straw,  that  can  be 
easily  replaced,  are  within  the  means  of  even 
very  poor  mothers. 


July   13,   1918 


Zbc  ©ritisb  3ournal  of  IRurslno. 


23 


8.  No  dummy !  Adenoids,  misshapen  mouths, 
and  deformed  teeth  may  result  from  this  evil 
practice ;  and  the  danger  of  infection  when  one 
is  used  is  almost  impossible  to  guard  against. 

9.  Flies  are  some  of  baby's  worst  enemies, 
and  must  be  fought  and  exterminated.  All  food 
must  be  covered ;  damp  refuse,  tea-leaves, 
green  stuffs,  &c.,  burnt,  and  the  dustbin  be 
always  Covered,  and  no  accumulations  allowed 
anywhere. 

To  sum  up,  all  baby's  surroundings  must  be 
clean,  sunny,  sanitary,  and  airy,  and  not  over- 
crowded, either  by  persons  or  things.  And  as 
a  child  is  trained  to  good  habits  in  infancy,  so 
will  he  be  in  adult  life. 

HONOURABLE   MENTION. 

The  following  competitors  receive  honourable 
mention  : — Mrs.  Farthing,  Miss  M.  M.  G. 
Bielby,  Miss  Alice  M.  Burns,  Mrs.  S.  A.  Box, 
Miss  Olive  M.  Balderstone,  Miss  P.  Thompson, 
Miss  J.  James. 

QUESTION   FOR  NEXT    WEEK. 

State  fully  how  you  would  disinfect  a  bed- 
room and  its  furnishings. 


THE    ROYAL    RED    CROSS. 


The  King  conferred  the  decoration  of  the 
Royal  Red  Cross  upon  the  following  ladies  at 
Buckingham  Palace,  on  July  3rd,  as  follows : — 

Bar  to  the^Royal  Red  Cross, 

First  Class. 
Matron  Ada  Yorke,  late  Queen  Alexandra' s  Imperi?,! 
Military  Nursing  Service. 

The  Royal  Red  Cross. 

First  Class. 

Queen  Alexandra' s  Imperial  Military  Nursing  Service. 
— Matron  Alexina  Guthrie,  and  Lady  Superintendent 
Fdith  Beesby. 

Queen  Alexandra' s  Impeiial  Military  Nursing  Serviec 
Reserve. — Assistant  Matron  Grace  Rowlatt,  and 
Sister  Gwendoline  Williams. 

Territorial  Force  Nursing  Service. — Matron  Ethel 
Buchanan. 

Civil  Nursing  Service. — Matron  Emmeline  Bann, 
Matron  Clare  Firth,  Matron  Agnes  Hunt,  Assistant 
Matron  Eleanor  Rodgers,  and  Assistant  Matron 
Martha  Rogers. 

British  Red  Cross  Society. — Matron  Mary  Guy. 

Voluntary  Aid  Detachment. — Miss  Maud  Goodhue, 
and  Miss  Kate  Howard. 

Canadian  Army  Nursing  Service. — Matron  Bessie 
Mitchell,  Matron  Elizabeth  Ross,  Acting  Matron 
Irene  Cains,  Acting  Matron  Jessie  Scott,  Acting 
Matron  Jean  Stronach,  Sister  Hilda  Corelli,  Sister 
Alison  DiCKisoN,  and  Sister  Minnie  McAffee. 

Second  Class. 
Queen  Alexandra' s  Imperial  Military  Nursing  Service 
Reserve. — Sister  Elsie  Bewsey,  Sister  Annie  Florey, 
p.nd  Sister  Sarah  Hughes. 


Territorial    force    Nursing    Service. — Sister   Lillian 

LOVELL. 

Civil  Nursing  Service. — Matron  Lilian  Boughey, 
Assistant  Matron  LiUan  Baines,  Assistant  Matron 
Agnes  Bankhead,  Sister  Elizabeth  Anderson,  Sister 
Edith  Aspinall,  and  Sister  Edith  Barber. 

British  Red  Cross  Society. — Matron  Pauline  Peter. 

Voluntary  Aid  Detachment. — Miss  Pollex  Adams, 
Miss  Edith  Allhusen,  Miss  Betty  Anderson,  Miss 
Frances  Baguley,  Mrs.  Elsie  Hughes,  Miss  Beatrice 
Bagnall-Oakley,  Miss  Katherine  Tompson,  and  Miss 
Mary  Wilkinson. 

Canadian  Army  Nursing  Service. — Acting  Matron 
Gertrude  Radcliffe,  Sister  Gertrude  Ramsden,  Sister 
Gertrude  Spanner,  Sister  Letitia  Stevenson, ^^Sister 
Jean  Sword,  and  Sister  Mary  White. 

Queen  Alexandra  received  at  Marlborough 
House  the  Members  of  the  Military  and  Civil 
Nursing  Services  who  have  been  awaxded  the 
Royal  Red  Cross,  subsequent  to  the  Investiture. 


The  King  has  been  pleased  to  award  the  Royal 
Red  Cross  to  the  undermentioned  ladies,  in  recogni- 
tion of  their  valuable  nursmg  services  in  connection 
with  the  war. 

Second  Class. 

C.4BLE,  Miss  A.  E.,  Matron,  Gen.  Infirmary,  Salisbury  ; 
Callan,  Miss  H.f  Sister,  T.F.N. S.,  2nd  Lend. 
Gen.  Hospl.,  Chelsea;  Cameron,  Miss  J.  W., 
Sister,  Q.A.I. M.N. S.R.,  Mily.  Hospl.,  Tidworth ; 
Cameron,  Miss  M.,  Sister,  T.F.N. S.,  4th  Sco. 
Gen.  Hospl.,  Stobhill,  Glasgow;  Cameron,  Miss 
M.  C,  Sister,  Tooting  Mily.  Hospl.,  Tooting, 
S.W.  17;  Campbell,  Miss  A.  G.,  Matron,  The 
Red  Cross  Hospl.,  Sussex  Lodge,  Newmarket;  Camp- 
bell, Miss  E.  N.,  Nursing  Sister,  Can.  Nursing  Service, 
No.  4  Can.  Gen.  Hospl.,  Basingstoke,  Hants  ;  Campbell, 
Miss  M.  S.,  Sister,  Q.A.I. M.N.S.R.,  Wharncliffe  War 
Hospl.,  Sheffield;  Carpenter-Turner,  Miss  E.  M., 
Matron,  R.  Hamp.  County  Hospl.,  Winchester;  Carr- 
Harris,  Miss  S.  M.,  Nursing  Sister,  Can.  Nursing 
Service,  No.  16,  Can.  Gen.  Hospl.,  Orpington.  Kent; 
Carrier,  Miss  E.,  Charge  Sister,  V.A.  Hospl.,  Lydney, 
Glos.  ;  Carter,  Miss  A.  M.,  Matron,  Broomlands  Aux. 
Hospl.,  Kirkcudbright;  Cattell,  Miss  C.  L.,  Matron, 
Uffculme  Aux.  Hosp.,  Birmingham  ;  Chandler,  Miss  G., 
Sister,  T.F.N. S.,  East  Leeds  War  Hospl.,  2nd  Northern 
Gen.  Hospl.  ;  Christmas,  Miss  M.  L.,  Sister  i/c  Ward, 
N.Z.A.N.S.,  No.  2  New  Zealand  Hospl.,  Walton-on- 
Thames;  Clerk,  Miss  E.  M.,  Sister,  T.F.N. S.,  3rd 
Northern  Gen.  Hospl.,  Sheffield ;. Clayton,  Mrs.  C,  Lady 
Supt.,  Dollis  Hill  House,  Gladstone  Park,  Willesden ; 
Clery,  Miss  M.,  Sister,  Q.A.I. M.N. S.R.,  Mily.  Hospl., 
Curragh,  Ireland;  Clowes,  Miss  C,  Hilder's  Mily. 
Hospl.,  Haslemere,  Surrey;  Coath,  Miss  E.,  Sister, 
American  Women's  War  Hospl.,  Paignton,  Devon  ;  Cock- 
burn,  Mrs.  S.,  Matron,  Royston,  Herts;  Cockeram,  Miss 
E.,  Asst.  Matron,  Gen.  Hospl.,  Birmingham;  Comyn, 
Miss  K.,  Asst.  Matron,  Dublin  Castle  Red  Cross  Hospl., 
Dublin  City;  Conley,  Miss  B.,  Sister,  Q.A.I. M.N. S.R., 
R.  Herbert  Hospl.,  Woolwich;  Connon,  Miss  A.  H.  J., 
Matron,  Murtle  House  Aux.  Hospl.,  Aberdeenshire; 
Cook,  Miss  M.,  Masseuse,  Bath  War  Hospl.,  Bath; 
CooMBY,  Miss  A.,  Sister,  Q.A.I. M.N.S.R.,  King 
George's  Hospl.,  Stamford  Street,  London,  S.E.  i  ; 
Corrigan,  Miss  F^.,  Night  Sister,  Nell  Lane  Mily. 
Hospl.,  West  Didsbury,  Manchester;  Cort,  Miss  F.  M., 
Matron,  R.  Bath  Hospl.,  Harrogate;  Cottrell,  Miss 
A.,  Asst.  Macron,  Gen.  Mily.  Hospl.,  Edmonton;  Cramp, 


34 


(Tbe  Britieb  3ournal  ot  IRursma, 


July   13,    1918 


Miss  F.  G.,  Sister,  Q.A.I. M.N.S.R.,  Reading  War 
Hospl.  ;  Crawford,  Miss  J.,  Matron,  Stapleton  Park, 
Pontefract,  W.  Yorlis ;  Cpawshaw,  Mrs.  F.,  Matron, 
Stubbins  Vale  Red  Cross  Hospl.,  Ramsbottom  ;  Crock- 
WEH.,  Miss  H.,  Matron,  Basford  House  Red  Cross 
Hospl.,  Old  Trafford,  near  Manchester;  Crosfield, 
Lady  D.,  Commdt.,  Highgate  V.A.D.  Hospl.,  "  By- 
cuUa  ";  Crump,  Miss  E.  M.,  Matron,  Red  Cross  Hospl., 
Belper,  Derbyshire;  Culliman,  Miss  A.  M.,  Sister, 
Weston  Favell,  Northampton,  Aux.  Mil.  Hospl. 

Darley,  Mrs.  L.,  Matron,  St.  John's  Ambulance  Bde. 
Hospl.,  6,  Kensington  Terrace,  Newcastle-on-Tyne ; 
Davies,  Miss  C,  Matron,  V.A.D.  Hospl.,  High 
Wycombe;  Davies,  Miss  E.  A.,  Sister,  Q.A.I. M.N.S.R., 
Council  School  Mil.  Hospl.,  Aylesbury  ;  Davies,  Miss  E. , 
Matron,  Countess  of  Pembroke's  Hospl.  for  Officers, 
Wilton  House,  Salisbury;  Davis,  Miss  M.,  Sister, 
Q.A.I. M.N.S.,  The  Co.  of  Midd'x  War  Hospl.,  Naps- 
bury,  St.  Albans;  Da  we,  Miss  A.  M.,  Sister, 
Q.A.I.M.N.S.R.,  Mily.  Hospl.,  Ripon,  Yorks ;  Dean, 
Miss  N.,  Senior  Sister,  Oakdene  Hospl.,  Rainhill ;  De 
Bellefeuille,  Miss  K.,  Nursing  Sister,  No.  14  Can. 
Gen.  Hospl.,  Eastbourne;  Dennis,  Miss  L. ,  Sister, 
T.F.N.S.,  ist  Northern  Gen.  Hospl.,  Newcastle-on- 
Tyne;  Denton,  Miss  L.,  Matron,  Normanby  Park  Aux. 
Hospl., near  Doncaster  ;  Dodds,  Miss  J.  C,  Sub-Matron, 
N.Z.A.N.S.,  No.  3  N.Z.  Mil.  Hospl.,  Codford ; 
Dodgson,  Miss  G,  E.,  Matron,  Dane  John  V.A.D. 
Hospl.,  Canterbury;  Douglas,  Mrs.  M.,  Nurse,  Princess 
Christian  Hospl.,  South  Norwood  Hill,  London;  Dow- 
son,  Mrs.  A.,  Senior  Nurse,  St.  John's  Hospl.,  Chelten- 
ham ;  Draper,  Miss  E.  A.,  A./Asst.  Matron,  Highfield 
Mil.  Hospl.,  Knotty  Ash,  Liverpool;  Dugdale,  Mrs. 
E.  I.,  Matron,  Eggington  Hall  Hospl.,  Derby,  Dumble, 
Miss  J.,  Asst.  Matron,  Welsh  Metropolitan  War  Hospl., 
Whitchurch,  near  Cardiff;  Dunbar,  Miss  M.  A.,  Sister, 
Q.A.I. M.N.S.R.,  Mil.  Hospl.,  Sheerness  ;  Dunn,  Miss 
v..  Matron,  St.  John's  V.A.D.  Hospl.,  Sevenoaks ; 
Durward,  Miss  A.  J.  D.,  Sister,  Q.A.I.M.N.S.R., 
Queen  Mary's  Mil.  Hospl.,  Whalley,  Lanes. 
(To  be  continued.) 


Matron  Ada  Yorke,  Q.A.I.M.N.S.  (Winchester 
Divisional  Red  Cross  Hospital),  received  a  Bar  to 
the  Royal  Red  Cross  on  the  same  day  as  her  son, 
Captain  H.  Yorke,  R.A.M.C,  received  the  M.C. 
proud  mother  and  proud  son  !  We  congratulate 
Ihem  both. 


NURSING    AND    THE    WAR. 


It  is  reported  that  the  Queen  is  particularly 
anxious  that  w^ounded  women  should  be  permitted 
to  wear  a  little  gold-braid  stripe  on  their  sleeves 
after  the  manner  of  tlie  men.  She  is  of  opinion 
that  it  is  the  least  recognition  they  can  have. 
For  some  time  now  there  has  been  a  rumour  that 
women  should  receive  orders  for  distinguished 
service,  and  we  hear  that  this  is  under  consideration 
and  is  likely  to  bear  fruit. 


We  hope  to  hear  that  trained  nurses  under  the 
authority  of  the  Service  du  Sanii,  in  France,  may 
be  granted  the  right  to  wear  the  galons  for  length 
of  service,  as  soldiers  are.  The  Sisters  of  the 
F.F.N.C.  rank  as  officers  in  the  French  Army,  and 
have    many    of    their    privileges. 


We  hear  that  some  of  the  American  masseuses 
in  France  are  doing  remarkably  clever  work  in 
manipulating  bad  facial  wounds.  These  masseuses 
were  originally  beauty  doctors,  and — ^like  all  the 
American  specialists  of  this  order — are  very 
clever  at  their  work. 


In  France,  where  the  "  religious  "  have  been 
for  so  long  the  nurses  of  the  sick,  the  modern 
civil  and  military  nurse  is  a  new  specie^,  not  yet 
quite  understood  or  approved.  For  instance, 
when  the  Americans  first  came  to  Talence,  the 
fact  that  they  were  provided  with  recreation  and 
gaily  tripped  the  hght  fantastic  toe  with  their 
fellow  workers  the  doctors  rather  shocked  the 
French.  But  recreation  is  a  most  necessary 
provision  in  the  maintenance  of  a  sound  mental 
and  physical  balance,  especially  in  war — and 
dancing  may  be  harmless  enough. 

Miss  Jane  A.  Delano,  R.N.  (Chairman  of  the 
National  Committee  on  Nursing  Service  of  the 
American  Red  Cross),  writes  of  "  Recreation 
Houses  for  Nurses  "  in  the  American  Journal  of 
Nursing.  The  A.R.C.,  at  the  request  of  the 
Surgeon- General,  is  erecting  forty  of  such  recrea- 
tion houses,  which  are  in  reality  club  houses  for 
nurses  working  in  the  cantonment  hospitals. 
Most  exacting  care  is  being  given  to  the  comforts 
within.  The  main  room  (30  by  75  ft.),  to  be  used 
ordinarily  as  a  living  room,  will  also  be  adapted 
for  an  assembly  hall,  and  can  be  used  for  dances 
and  receptions.  There  vidll  be  a  small  balcony, 
which  may  be  utilised,  among  other  ways,  for 
operating  moving  pictures.  From  the  great  room 
will  open  a  librajy,  a  sewing  room  equipped  with 
machines  and  all  conveniences,  a  small  laundry, 
and  a  fully  equipped  kitchen.  A  piano  and 
victrola  and  dainty  lounges,  and  everything  else 
necessary  to  express  a  sense  of  home,  and  to  supply 
the  needs  and  add  to  the  comfort  of  cantonment 
life,  have  been  provided.  These  clubs  will  be 
connected  with  the  nurses'  quarters. 


Major  Chappie  recently  asked  the  Under 
Secretary  A  State  for  War,  in  the  House  of 
Commons,  whether  any  advance  in  the  mess 
allowance  to  nurses  had  recently  been  made  to 
meet  the  increased  cost  of  food  ;  and  whether 
he  had  satisfied  himself  that  the  increased  and 
increasing  strain  being  put  upon  nurses  in  the 
execution  of  their  duties  was  being  fully  met  by 
an  adequate  supply  of  nourishing  food  ? 

Mr.  Forster  replied,  as  follows  :  "  An  advance 
of  4s.  2d.  was  authorised  in  Februarj^  1917. 
I  have  no  information  to  suggest  that  the  nurses 
are  suffering  in  consequence  of  an  inadequate 
supply  of  nourishing  food." 


A  Sister  we  know,  now  supervising  W.A.A.C.s, 
appears  to  have  put  on  lbs.  of  weight.  "  No 
wonder,"  she  remarked,  cheerfully,  "  we  are 
magnificently  fed ;  meat  twice  a  day,  and  as 
much  of  everytliing  as  we  can  stuff."  Moral  : 
To  avoid  the  vacuimi  nature  abhors,  become  a 
woman  soldier. 


July  13,  1918  ^|)e  British  3ournal  of  Bursing.  25 

FRENCH  FLAG  NURSING  CORPS.        CARE  OF  THE  WOUNDED. 


So  many  of  the  Sisters  were  working  behind 
the  French  hnes  between  the  last  German  push 
and  the  Marne  that  their  ambulances,  in  many 
instances,  have  had  to  be  set  up  anew.  This 
the  Service  du  Sante  has  accomplished  in  the  most 
admirable  manner — and  we  have  received  numbers 
of  letters  expressing  the  gratitude  of  the  Sisters 
for  the  great  consideration,  kindness  and  appre- 
ciation they  have  received  from  the  medical 
officers  under  whom  they  work. 

One  Sister  writes  :  "I  cannot  express  to  you 
how  good  the  doctors  have  been  to  us  .  .  .  they 
have  looked  after  us  and  spared  us  in  every  way 
possible,  and  treat  us  as  camarades — the  greatest 
compliment.  This  ambulance  has  been  very 
vv-ell  notei  at  Headquarters  in  the  retreat.     We 

left  G at  mid-day  and  at  mid-night  were 

working  at  M .     Never  shall  we  forget  that 

night,  with  bombs  falling  all  round  us,  knowing 
that    the    Boches    were    advancing    so    fast." 

This  brave  woman  once  expressed  the  opinion 
that  she  would  consider  it  a  glorious  death  to  die 
on  duty  at  the  Front.  So  it  may  be,  but  we 
cannot  spare  these  heroines' — the  wounded  have 
too  great  need  of  them. 


Another  Sister  says  : — 

"  All  the  six  weeks  I  was  there  (somewhere  in 
France)  I  only  had  two  quiet  nights — 
the  Germans  bombarded  alternately  by  cannons 
and  avions.    We  got  nearly  all  the  Boches  from 

R and  we  were  kept  very  busy.   The  wounds 

were  very  terrible — many  deaths  ;  we  had  some 
who  had  lain  out  thiee,  four  and  five  days  on 
the  ground,  and  it  was  awful  to  see  enormous 
quantities  of  worms  come  out  when  the  dressings 
were    taken    off." 

In  French  hospitals,  German  wounded  share 
all  the  good  care  that  is  going  equally  with  the 
heroic  P'renchmen.  This  is  the  law  of  chivalry-^ — 
entirely  superseded  by  the  law  of  "  f rightfulness  " 
so  far  as  our  brutalised  enemies  are   cone  erned 


The  Ambulance  12/2  Unit  have  arrived  at  their 
destination  and  had  a  wery  waxm  welcome  upon 
their  return.  

Sisters  Gill,  Hanning  and  Jones  have  rejoined 
Ambulance  16/21,  and  have  also  enjoyed  the 
"  fatted  calf."  It  is  indeed  a  matter  for  con- 
gratulation that  the  medical  officers  of  the  Service 
de  Sante  value  their  services  so  much.  Both 
units  have  been  told  their  care  means  the  saving  of 
life.     This  is  the  great  reward  to  the  true  nurse. 


Miss  Mildred  Aldrich,  the  author  of  that  most 
fascinating  little  book,  "  A  Hill-top  on  the  Marne," 
has  published  a  second  volume,  "  On  the  Edge  of 
the  War  Zone,"  in  which  she  gives  a  palpitating 
picture  of  the  emotion  with  which  an  American 
resident  near  Meaux  has  lived  through  the  exciting 
events  down  to  the  advance  on  Soissons.  This  is  a 
book  many  F.F.N.C.  Sisters  will  want  to  possess. 


July  4th,  American  Independence  Day,  has 
been  celebrated  in  great  form  by  the  Allied 
nations,  and  we  were  all  with  President  Wileon 
in  spirit,  when,  on  that  date,  he  stood  by  the 
tombs  of  "\\"ashington  and  his  wife,  Martha, 
within  the  grounds  of  Mount  Vernon,  their  lovely 
home  on  the  bankr.  of  the  Potomac,  now  conse- 
crated by  the  Daughters  of  the  Revolution  to 
their  imperishable  memory. 


July  14th,  which  typifies  to  all  Frenchmen 
the  victory  of  Liberty  over  Absolutism  when,  in 
1789,  they  stormed  and  captured  the  Bastille — ■ 
a  victory  which  swept  away  the  ancien  regime — • 
is  in  this  year  of  grace  to  be  celebrated  in  London 
as  "  France's  Day,"  on  the  12th  inst.  A  solemn 
mass  of  requiem  for  the  French  soldiers  and  sailors 
who  have  fallen  in  the  war  will  be  held  at  West- 
minster Cathedral  at  11.30  a.m.  in  connection 
with  the  British  Committee  of  the  French  Red 
Cross,  when  the  splendid  premier  Zouave  band 
of  the  French  Army  will  play  before  lunching 
with  the  Lord  Mayor.  A  whole  day  collection 
Avill  be  made  in  London  for  the  benefit  of  French 
sick  and  wounded — the  refugees  from  the  devas- 
tated districts,  and  other  sufferers  from  the 
invasion  of  France  by  the  ruthless  Hun.  Thou- 
sands  of  sympathisers  will  sell  souvenirs  and  a 
splendid  response  is  expected.  We  shall  all  be 
wearing  favours  in  support  of  the  good  cause  on 
the  1 2th,  to  show  our  admiration  for  the  un- 
quenchable spirit  which  is  France. 


Why  Poilu  ?  Many  nurses  want  to  know  the 
reason  for  the  name,  which  now  stands  for  all 
the  most  splendid  attributes  of  the  fighting  man. 
According  to  the  French  dictionary,  the  word 
means  hairy,  shaggy,  bristling,  and  it  is  said  that 
the  name  was  given  to  French  soldiers  who  have 
served  in  the  trenches  because  the  first  French 
soldiers  on  leave  thronged  into  Paris  wearing 
whiskers.  Such  a  sight  had  never  been  seen 
before  and  the  people  cried  :  "  Oh  !  les  poilus, 
which  may  be  freely  translated :  "  Oh !  the 
whiskers,"  and  the  name  stuck.  Has  anyone 
another  explanation  ? 


TRUE     TALE     WITH     A     MORAL. 

An  experienced  sistei,  who  is  blest  with  a  sense 
of  humour,  was  asked  the  other  day  by  her 
wounded  soldiers  :  "  How  long  does  it  take  to  be 
a  nurse  ?  " 

"  How  long  does  it  take  to  learn  to  nurse 
soldiers,  do  you  mean  ?  " 

"  Well,  yec  !  " 

"  Oh,"  she  returned,  with  a  twinkle,  "  you 
require  six  months  in  a  children's  hospital  and 
six  months  in  the  police  force." 

Her  patients  were  hrgely  delighted. 


26 


Zbc  British  3ournal  of  IFlureing. 


July   13,   1918 


OUR  ROLL  OF  HONOUR. 

With  grief  and  pride  we  publish  the  names  of 
our  Canadian  sisters  murdered  on  the  high  seas 
by  the  sinking  of  the  Llandovery  Castle. 

Campbell,  Christine,  N.S,,  Victoria,  B.C.  ; 
Douglas,  Carola  Josephine,  N.S.  Manitoba  ; 
DussALTLT,  Alaxina,  N.S.,  Montreal ;  Follette, 
Minnie,  N.S.,  Cumberland  Co.,  N.S.  ;  ForTescue, 
Margaret  Jane,  N.S.,  Montreal ;  Fraser,  Matron 
Margaret  Marjory,  Moosejaw,  Sask.  ;  Gallaher, 
Minnie  Katherine,  N.S.,  Ottawa ;  McDiarmid, 
Jessie  Mabel,  N.S.,  Ash- 
ton,  Ontario;  McKenzie, 
Mary  Agnes,  N.S.  ,  Tor- 
onto ;  McLean,  Rena, 
N.S.,  Prince  Edward  Is- 
land ;  Sampson,  Mac 
Belle,  N.S.,  Ountroon, 
Qnt.  ;  Sare,  Gladys 
Irene,  N.S.,  Montreal ; 
Stamers,  Anna  Irene, 
N.S.  New  Brunswick ; 
Templeman,  Jean,  N.S., 
Ottawa. 


of  the  fourteen  Canadian  Sisters,  every  one  of 
whom  was  lost.  We  learn  : — •"  Unflinchingly  and 
calmly,  as  steady  and  collected  as  if  on  parade, 
without  a  complaint  or  a  single  outward  sign  of 
emotion,  our  fourteen  devoted  nursing  sisters 
faced  the  terrible  ordeal  of  certain  death,  only  a 
matter  of  minutes,  as  our  lifeboat  neared  that 
mad  whirlpool  of  waters  where  all  human  power 
was  helpless." 


To  hundreds  of  officers 
and  men  of  the  Canadian 
Overseas  Forces,  the 
name  of  Nursing  Sister 
Miss  Margaret  Mar j  orie 
(Pearl)  Fraser,  will  recall 
a  record  of  unselfish 
effort,  a  fitting  tribute  to 
this  nation's  womanhood. 
Volunteering  for  active 
service  in  the  C.A.M.C. 
on  September  29th,  19 14, 
Miss  Fraser  went  to 
France  with  the  ist  Can- 
adian Division,  and  for 
almost  three  years  had 
been  on  duty  in  casualty 
clearing  stations.  Her 
faithf  ulncsr  was  only 
tj'pical,  however,  of 
that  service  for  humanity 
exhibited  by  every  one 
of  these  precious  14  lives. 


The  majority  of  the  fourteen  Sisters  volunteered 
for  service  at  the  very  outbreak  ot  hostilities  in 
1914,  came  to  England 
and  France  with  the  first 
Canadian  Division,  had 
seen  active  service,  chiefly 
in  casualty  clearing  sta- 
tions in  France,  through- 
out the  intervening 
period,  and  recently 
had  been  transferred  to 
transport   duty.  For 

many  months,  and  in 
some  cases,  two  years 
these  Sisters  had  endured 
the  hazards  of  the  shelled 
areas  in  France,  splen- 
didly contributing  to 
the  efficiency  of  our  medi- 
cal service.  How  mag- 
nificently they  faced  the 
final  ordeal  on  that  awful 
evening  of  June  27th  is 
simply  yet  graphically 
related  in  the  story  of 
Sergeant  A.  Knight,  the 
non-commissioned  officer 
of  the  C.A.M.C.  who 
took  charge  of  lifeboat 
No.  5,  into  whicn  the 
fourteen  nurses  were 
placed. 

It  is  a  story  calculated 
to  make  every  heart  throb 
with  admiration  and 
gratitude  to  have  been 
born  British,  and  to  be  a 
member  of  the  Nursing 
Sisterhood. 


SISTER    FOX    HARVEY.    TRIPLE    CHEVRONS 


The  Minister  of  Over- 
seas Military    Forces    of 

Canada  (Sir  Edward  Kemp,  K.C.M.G.),  having 
made  careful  inquiries  into  the  sinking  of  the 
hospital  ship  Llandovery  Castle,  on  June  27th 
has  authorised  publication  of  a  report,  which 
aflords  convincing  evidence  of  the  deliberate 
intent  and  dastardly  character  by  the  latest 
German  outrage  on  non-combatants. 

The  Splendid  Courage  of  the  Sisters. 

:  .  In  an  extract  from  Sergeant  A.  Knight's  stiiring 
record  of  the  supreme  devotion  and  valiant 
sacrifice  of  the  medical  personnel,  nothing  stand 
out  more  heroically  than  the  coolness  and  courage 


There  is  much  feeling 
throughout  the  nursing 
community  over  the  sinking  of  the  Llandovery 
Castle.  The  International  Council  of  Nurses  in 
London  is  compiling  a  full  list  of  members  de- 
liberately assassinated  by  the  Germans.  Canada's 
loss  is  most  grievous. 

THE     ROYAL    NAVAL    NURSING     SERVICE. 

Sister  Fox  Harvey,  whose  portrait  appears  on 
this  page,  wears  three  chevrons  for  service  afloat 
as  a  naval  nurse.  She  is  now  on  duty  at  the 
Koyal  Naval  Hospital,  Chatham.  We  hear  very 
little  of  the  work  done  by  the  members  of  Queen 
Alexandra's  Royal  Naval  Nursing  Service,  but 
our  sick  and  wounded  sailors  realize  its  value. 


July   13,   1918 


ITbe  Brtti9b  3ournal  ot  IRursmg. 


27 


THE  CENTRAL  COMMITTEE   FOR  THE 
STATE  REGISTRATION  OF  NURSES. 


A  Meeting  of  the  Central  Committee  for  the 
State  Registration  of  Nurses  was  held  in  the 
Council  Chamber  of  the  British  Medical  Asso- 
ciation, 429,  Strand,  London,  W.C.,  on  Satur- 
day, July  6th,  at  2.30  p.m. 

Mr.  T.  W.  H.  Garstang,  M.R.C.S.,  was  in 
the  Chair. 

Reports  were  received  from  the  Hon.  Secre- 
taries and  the  Executive  Committee. 
New  Delegates. 

Upon  the  nomination  of  the  Royal  British 
Nurses'  Association,  Mrs.  Shuter  and  Miss 
Isabel  Macdonald  were  elected  in  the  place  of 
Mr.  Comyns  Berkeley  and  Miss  Grace  Gordon. 

Upon  the  nomination  of  the  National  Union 
of  Trained  Nurses,  Miss  Farrant  was  elected 
in  the  place  of  Miss  Carruthers. 

Representation  of  the  Irish  Nursing  Board. 
Upon  the  recommendation  of  the  Executive 
Committee,  the  request  for  representation  of 
the  Irish  Nursing  Board,  approved  by  the 
Royal  College  of  Surgeons  in  Ireland,  was 
agreed  to. 

Amendments  to  the  Nurses'  Registration 
Bill. 
The  following  Amendments  to  the  Bill  were 
agreed  to : — 

1.  To  insert  the  word  *'  Nursing,"  to  read 
**  General  Nursing  Council  "  throughout  the 
Bill. 

2.  To  substitute  two  for  one  representatives 
for  Male  Nurses  and  Mental  Nurses  on  the 
General  Nursing  Council. 

Duties  and  Powers  of  Council 
To  Provide  for  Reciprocal  Curricula. 
The  following  new  Clause  was  agreed  to  : — 
"  Prescribing  the  conditions  necessary  to  be 
fulfilled  by  any  hospital  desirous  of  having  any 
portion  of  its  training  recognised  pro  tanto 
towards  the  three  years'  training  required 
under  the  Act." 

Nomination  for  Election  of  Direct  Repre- 
sentatives ON  THE  General  Nursing  Council. 
The  following  new  Clause  was  agreed  to  : — 
"  The  registered  nurses  entitled  to  be  elected 
on  the  General  Nursing  Council  must  be  duly 
nominated  on  a  Form  prescribed  for  the  pur- 
pose. Each  nomination  paper  must  be  signed 
by  at  least  twelve  registered  nurses.  Form  of 
Nomination  Paper  : — We,  the  undersigned, 
being  registered  nurses  resident  in  (England 
and    Wales    or   Scotland   or   Ireland),    hereby 


nominate  (name  in  full),  of  (address  and  quali- 
fication), a  registered  nurse,  as  a  proper  person 
to  be  elected  to  the  General  Nursing  Council  by 
the  registered  nurses  resident  in  (England  and 
Wales  or  Scotland  or  Ireland)." 
Resolutions. 
The  following  Resolutions  were  approved  : — 
An  Independent  Council. 

1.  "  That  in  the  opinion  of  this  Committee  the 
Registration  of  Trained  Nurses  should  be  carried 
out  by  an  independent  Nursing  Council,  constituted 
by  Act  of  Parliament,  entirely  dissociated  from  any 
one  Organization  of  Nurses,  such  as  the  College 
of  Nursing,  Ltd." 

The  Registration  of  Specialists. 

2.  "  That  this  Committee  desires  to  protest  against 
the  Clause  recently  inserted  in  the  Nurses'  Regis- 
tration Bill  drafted  by  the  College  of  Nursing,  Ltd., 
which  provides  for  the  Registration  of  Specialists, 
other  than  male  and  mental  nurses. 

"In  the  opinion  of  this  Committee  the  compiling 
of  such  Supplementary  Registers  is  injurious  to  the 
best  interests  of  the  nursing  profession,  and  the 
public,  and  is  calculated  to  undermine  the  value  of 
a  Three  Years'  General  Training,  a  One  Portal 
Examination  for  the  Nursing  Profession,  and  the 
efficient  standard  of  a  General  Register  of  Trained 
Nurses." 

Letter  from  Major  Chapple,  M.P. 
A  letter  from  Major  Chappie,  M.P.,  concern- 
ing the  re-drafted  Bill  of  the  College  of  Nurs- 
ing, Ltd.,  was  read,  and  it  was  agreed  to  refer 
it  to  the  Executive  Committee  for  consideration 
and  report. 

Ethel  G.  Fenwick,  Hon.  Nurse  Sec. 
E.  W.  GooDALL,  Hon.  Medical  Sec. 


THE  CONSECRATION  OF  THE  NURSING 
PROFESSION. 

The  Address  of  the  President,  Miss  Annie  W. 
Goodrich,  R.N.,  to  the  American  Nurses'  Associa- 
tion, delivered  recently  at  Cleveland,  Ohio,  might 
well  be  reprinted  in  leaflet  form  and  scattered 
broadcast  throughout  the  nursing  world.  The 
theme  is  the  consecration  of  the  nursing  profession, 
in  the  most  momentous  period  in  the  history  of  the 
world,  to  the  service  of  humanity.  It  is  an  inspiring 
trumpet  call. 

"  Never,"  says  Miss  Goodrich,  "  in  our  history 
have  we  been  so  under  fire,  never  perhaps  again 
will  there  ibe  such  a  period  of  testing.  With  all 
the  strength  we  ha^e,  with  all  the  undreamed-of 
strength  we  can  summon,  through  every  avenue  of 
service  we  can  find,  we  should  seek  to  raise  the 
standard  of  nursing  immeasurably  above  the  service 
rendered  in  all  previous  wars,  that,  after  this 
ghastly  struggle  is  over,  freed,  through  a  record  of 
high  service,  our  profession  may  contribute  in 
fullest  measure  to  the  restoration  of  this  crippled, 
scarred  humanity. "  ■ 


28 


Zbc  Brttieb  3ournal  of  IRureino. 


July   13,    1918 


Ropal  Britlsl)  Rurses'  flssoclatlon^ 


(Iticorporatca  Dp   &^Mi   Ropal  CDarten) 


THIS   SUPPLEMENT   BEING   THE    OFFICIAL    ORGAN    OF    THE    CORPORATION. 


LOYAL   CONGRATULATIONS   TO  THEIR 
MAJESTIES. 


On  behalf  of  the  Royal  British  Nurses'  Asso- 
ciation, Her  Royal  Hig-hness  the  Princess 
Christian,  President  of  the  Corporation,  has 
been  graciously  pleased  to  convey  to  their 
Majesties  the  King-  and  Queen  the  loyal  and 
dutiful  greetings  and  respectful  cong-ratula- 
tions  of  the  Hon.  Officers,  of  the  Greneral 
Council,  and  of  the  Members  of  the  Corporation 
on  the  occasion  of  their  Majesties'  Silver 
Wedding. 

MEETING  OF  THE  GENERAL  COUNCIL. 

A  Meeting-  of  the  General  Council  was  held  at 
10,  Orchard  Street  on  July  4th,  at  2.45  p.m. 

Before  the  Minutes  were  read,  Mr.  Pater  son, 
who  occupied  the  Chair,  extended  a  very  warm 
welcome  to  the  new  Members  of  the  Gieneral 
Council.  He  hoped  that  the  precedent  made  by 
the  harmonious  co-operation  of  the  Representatives 
of  the  Affiliated  Societies  and  other  Members  of 
the  R.B.N. A.  on  the  Council  of  the  Chartered  Cor- 
poration of  Nurses  would  be  followed  by  the  nurses 
themselves,  and  if  this  happened  he  had  very  little 
doubt  but  that  there  would  soon  be  a  great 
improvement  in  the  conditions  under  which  the 
nurses  worked. 

Reports  of  the  Executive  Committee  and  the 

Hon.  Treasurer. 
The  report  of  the  Executive  Committee  for  April 
and  May  was  read,  the  Medical  Honorary  Secre- 
tary remarking  that  already  most  of  the  informa- 
tion contained  therein  had  already  been  conveyed  to 
Members  of  the  Council  through  other  channels,  as 
the  summer  Meeting  of  the  Council  had  been  some- 
what delayed  owing  to  the  fact  that  one  of  the  Bye- 
laws  stipulated  that  it  should  not  be  held  within  a 
fortnight  of  the  Annual  Meeting.  The  Report  of 
the  Hon.  Treasiirer  for  the  same  two  months 
showed  a  balance  of  jC26g  in  the  General  Fund,  and 
;^i,489  and  ;^2,4o6  in  the  Helena  Benevolent  and 
Settlement  Funds  respectively.    Expenses  for  print- 


ing formed  an  extremely  heavy  item  in  the  expendi- 
ture account  of  the  Greneral  Fund. 

Loyal  Congratulations  to  the  King  and  Queen, 

Mrs.  Bedford  Fenwick  moved,  and  Miss  Easton 
seconded,  a  Resolution  that  an  expression  of  loyalty 
and  the  congratulations  of  the  Royal  Corporation 
of  Nurses  be  sent  to  their  Majesties  on  the  celebra- 
tion of  their  Silver  Wedding.  This  was  carried 
unanimously. 

Elections  of  Hon.  Officers  and  Executive 
Committee. 

It  was  moved  by  Miss  Cattell,  seconded  by  Miss 
Sendall,  and  carried,  that  the  following  be  elected 
Hon.  Officers  for  the  ensuing  year  : — Vice-Chair- 
men,  Miss  Heather-Bigg,  R.R.C.,  Sir  James 
Crichton  Browne,  Dr.  Percival  White ;  Medical 
Hon.  Secretary,  Mr.  Herbert  Paterson ;  Nurse  Hon. 
Secretary,  Mrs.  Campbell  Thomson ;  Hon.  Trea- 
surer, Dr.  Kenneth  Stewart.  It  was  moved  by 
Mrs.  Campbell  Thomson,  seconded  by  Mrs.  Sher- 
liker,  and  carried,  that  the  following  be  elected  to 
fill  vacancies  on  the  Executive  Committee  : — Dr. 
A.  P.  Beddard,  Dr.  A.  S.  Currie,  Dr.  J.  T.  C. 
Laing,  Dr.  Eric  Pritchard,  Dr.  Leonard  Williams, 
Mrs.  Bedford  Fenwick,  Miss  Easton,  A.R.R.C., 
Miss  Roberts,  R.R.C.,  Miss  Sinzininex,  A.R.R.C, 
Miss  Bedwell,  A.R.R.C,  Miss  Alice  Cattell,  Miss 
Beatrice  Kent,  and  Miss  Liddiatt.  Miss  Henderson, 
the  nominee  of  the  Scottish  Nurses'  Association, 
was  elected  to  a  vacant  seat  on  the  General  Council. 

The  Medical  Hon.  Secretary  read  a  report  of  a 
Meeting  of  the  Consultative  Committee,  and 
instructions  were  given  to  the  Executive  Committee 
with  regard  thereto. 

The  Midwives  Act  Amendment  Bill. 

Miss  Breay  then  moved  the  following  Resolu- 
tion : — 

The  Council  of  the  Royal  British  Nurses'  Asso- 
ciation desire  to  place  on  record  their  satisfaction 
that  Clause  12  has  been  deleted  from  the  Midwives 
Act  Amendment  Bill,  a  Clause  which  the  Council 
consider  to  be  against  the  interest  of  the  Public  and 
of  the  Midwives. 

This  was  seconded  by  Mrs.  Scott  and  carried 
unanimously.      The    Secretary    was    instructed    to 


]uly   13,    1918 


^be  Brittsb  3ournal  ot  Buremo. 


29 


forward  a  copy  of  the  Resolution  to  the  Lord  Pre- 
sident of  the  Council,  the  Right  Hon.  the  Marquis 
of  SaHsbury,  the  President  of  the  Local  Govern- 
ment Board,  and  the  Chairman  of  the  Central 
Midwives'  Board. 
The  Meeting  then  terminated. 


Captain  and  Mrs.  J.  C.  Moulton.  The  honeymoon 
was  spent  in  Penang  and  Singapore,  and  a  month 
later  Dr.  and  Mrs.  Greene  returned  to  Sarawak. 
Mrs.  Greene  joined  the  Association  in  19 14. 


APPOINTMENTS. 

Miss  Margaret  Tait  has  been  re-appointed 
Matron  of  the  Government  Hospital,  Sarawak. 
Four  years  ago  the  late  Rajah  of  Sarawak  asked 
the  Royal  British  Nurses'  Association  to  recom- 
mend to  him  a  nurse  to  undertake  the  duties  of 
Matron  in  this  hospital,  where  the  patients  are  all 
Europeans.  Miss  Tait  was  appointed  for  the  term 
of  three  years.  At  the  end  of  that  time,  much  to 
the  disappointment  of  all  connected  with  the  hos- 
pital, she  decided  to  return  to  England.  The 
Government  of  Sarawak  again  asked  the  Corpora- 
tion to  recommend  one  of  its  Members,  and  Miss 
Ina  Macdonald  secured  the  appointment,  which  is 
a  very  desirable  one  in  many  respects.  Some  six 
months  after  she  sailed  the  news  of  her  engage- 
ment to  the  Chief  Medical  Officer  of  Sarawak 
reached  us,  and  considerable  pressure  was  brought 
to  bear  upon  Miss  Tait  by  the  Sarawak  Govern- 
ment in  order  to  persuade  her  to  return  and  take 
charge  of  the  hospital  again.  Much  appreciation 
has  been  expressed  regarding  her  work  in  Sarawak, 
and  many  friends  will  extend  to  her  a  warm  wel- 
come upon  her  return.  Miss  Tait  was  trained  at 
the  Royal  Infirmary,  Edinburgh,  and  ibecame  a 
Member  of  the  Corporation  in  1914. 


Miss  Louisa  Kate  Clarke  has  been  appointed 
Night  Superintendent  at  Gateshead  Hospital.  Miss 
Clarke  gained  the  Diploma  of  the  Royal  British 
Nurses'  Association,  and  became  a  Member  in  1908. 


Miss  Alice  M.  Brittain  has  been  appointed  Dis- 
trict Nurse  in  Bournemouth.  She  joined  the 
Association  in  1902. 

ENGAGEMENT. 

As  we  go  to  press  we  learn  that  Miss  Jean 
MacLauchlin  is  shortly  to  be  married  to  Mr. 
Deltman,  of  Belmont  Park,  Blackheath.  Miss 
Maclauchlin  joined  the  Association  in  19 15.  Until 
recently  she  was  Matron  in  a  Government  Colony 
for  Munition  wor'cers,  an  appointment  which  she 
obtained  through  the  Association. 


MARRIAGE. 

On  March  nth,  at  St.  Andrew's  Church,  Singa- 
pore, by  the  Venerable  Archdeacon  Swindell,  Dr. 
Downes  Latimer  Greene,  Principal  Medical  Officer 
to  the  Government  of  Sarawak,  was  married  to 
Miss  Ina  Macdonald,  second  daughter  of  Roderick 
Macdonald,  Esq.,  of  Ashford.  The  ceremony  was 
a  very  quiet  one,  the  only  witnesses  being  Lieut. 
Gibson-Fleming,    who  gave   the  bride  away,    and 


The  marriage  took  place  recently,  at  the 
Brompton  Oratory,  of  the  Hon.  M.  P.  E.  R. 
Antelme  to  Miss  Mary  C.  Lewis.  Miss  Lewis 
became  a  Member  of  the  Association  in  1917,  and 
took  private  cases  from  it  for  some  time. 


DONATIONS  RECEIVED. 

GENERAL     FUND. 

Mrs.  Rogers,  ,^3  ;  Miss  Coward,  £2  ;  Miss  Eden, 
;^2 ;  Mrs.  Broadfoot,  _;^'i  is. ;  Miss  Habgood, 
£1  IS. ;  Miss  Boldero,  £1 ;  Miss  Cattell,  £1 ;  Miss 
Glover,  ;^i ;  Mrs.  Raikes,  £1 ;  Miss  Jordan,  15s. ; 
Miss  Conway,  los.  6d.  ;  Miss  Liddiatt,  los.  ;  Miss 
Sumner,  los. ;  Miss  Hawkes,  5s. ;  Mrs.  Roberts, 
5s.  ;  Miss  Oldham,  3s.  6d.  ;  Miss  Randall,  3s.  2d. ; 
Miss  Shorter,  2s.  6d.  ;  Miss  Young,  2s.  6d. ;  Miss 
Coates,  2S.  ;  Miss  Stewart,  is.  6d. ;  Miss  Conster- 
dine,  is  ;  Miss  Munson,  is. 

STATE     REGISTRATION     FUND. 

Miss  Easton,  ^^2 ;  Miss  Budd,  ;^i  6s.  6d. ;  Miss 
Cureton,  p^i ;  Miss  Farquharson,  £1 ;  Miss 
Clifford,  los. ;  Miss  Copeland,  los.  6d. ;  Miss  Davis, 
los.  ;  Miss  Glover,  los.  ;  Miss  Holmes,  los.  ;  Miss 
Robinson,  los.  ;  Miss  Ault,  5s.  ;  Miss  Bedwell,  5s. ; 
Miss  Gurnett,  5s. ;  Miss  Byard,  2s.  6d.  ;  Miss  Coull, 
2S.  6d.  ;  Miss  Jones,  2s.  6d.  ;  Miss  Leigh,  2s  6d.  ; 
Miss  Standing,  2s.  6d.  ;  Miss  Tarry,  2s.  6d. 

HELENA    BENEVOLENT     FUND. 

Maintained  by  the  Members  for  the  benefit  of 
their  fellow-Members  in  times  of  sickness  or 
distress. 

Miss  Habgood,  £1 ;  Miss  Cutler,  los. ;  Miss 
Glover,  los.  ;  Miss  Cattell,  8s.  6d.  ;  Mrs.  Hewer, 
5s.  ;  Miss  Chippendale,  5s.  ;  Miss  Oldham,  4s. ; 
Miss  Garland,  2s.  6d. ;  Miss  Hooper,  2s.  6d. ;  Miss 
Smith,  2S.  6d. ;  Miss  Young,  2s.  6d. ;  Miss  Bayley, 
2S.  ;  Mrs.  Dalton  Holmes,  2s. ;  Miss  Humphry,  2s. ; 
Miss  Newcombe,  2s.  ;  Miss  Dyke,  is.  6d.  ;  Miss 
Ansett,  IS. ;  Miss  Blizard,  is.  ;  Mrs.  Douglas,  is. ; 
Miss  Fewkes,  is. ;  Miss  Haynes,  is.  ;  Miss  Henry, 
IS. ;  Miss  Henson,  is.  ;  Miss  Hore,  is.  ;  Miss 
Kenten,  is. ;  Miss  Millar,  is.  ;  Miss  Morris,  is. ; 
Miss  Ommaney,  is. ;  Miss  Pardy,  is. ;  Miss  Pike, 
IS. ;  Miss  Relph,  is.  ;  Miss  Robertson,  is. ;  Miss 
Slater,  is.;  Miss  Steuart,  is.;  Miss  Tabuteau,  is.; 
Miss  Wilson,  is.  ;  Miss  Groom,  6d. 

SETTLEMENT    FUND. 

Subscribed  to  by  the  Members  for  the  mainten- 
ance of  the  Princess  Christian  Settlement  Home  for 
aged  nurses. 

Miss  Henry,  £1 ;  Miss  Baskerville  Smith,  2s.  6d. 

(Sig-ned)     Isabel  Macdonald, 

Secretary  to  the  Corporation. 


3^ 


^be  JBritieb  3ournal  ot  flursinQ, 


July   ij,    1918 


A    PROTEST. 


We  referred  last  week  to  a  letter  of  protest 
addressed  by  Miss  Lloyd  Still,  Matron  of  St. 
Thomas'  Hospital,  and  Miss  Amy  Hughes,  in  the 
June  issue  of  the  American  Journal  of  Nursing, 
against  an  article  by  Miss  L.  L.  Dock  entitled 
"  English  Nursing  Politics,"  which  they  state  was 
based  on  a  biassed  account  in  The  British 
Journal  of  Nursing  of  the  present  condition  of 
the  Nursing  World  in  England. 

The  two  ladies  think  it  right  American  nurses 
should  hear  both  sides  ;    so  do  we. 

They  claim  that  the  College  of  Nursing,  Ltd. 
came  into  existence  as  a  result  of  the  great  lack  of 
uniformity,  and  (in  many  instances)  the  lack  of 
efficiency  in  the  training  of  nurses,  and  state  that 
its  avowed  objects  are  to  obtain  (i)  State  Regis- 
tration for  the  trained  nurses,  (2)  the  protection  of 
the  interests  of  trained  nurses,  (3)  the  raising  of 
the  standard  of  training,  (4)  the  establishment  of 
a  uniform  curriculum  of  training  and  the  one- 
portal  examination,  (5)  the  establishment  of 
lectureships  and  scholarships. 

Whose  the  fault  for  this  deplorable  condition  of 
affairs,  that  all  these  reforms  have  not  long  ago 
been  instituted  ?  Certainly  not  that  of  the  State 
Registration  Party,  who  have  called  urgently  for 
one  and  air  through  their  organ,  The  British 
Journal  of  Nursing,  for  thirty  years  but  of  the 
lay  governors  of  hospitals,  and  Matrons  like  Miss 
Lloyd  Still,  who  have  opposed  by  every  means  in 
their  power  the  organisation  of  trained  nursing 
education,  and  registration  through  an  Act  of 
Parliamer.t,  and  who  have  signed  manifestoes 
without  end  to  Members  of  Parliament  and  the 
public,  stating  that : — 

"  We  believe  that  any  system  of  State  Registra- 
tion would  be  detrimental  to  the  public,  and 
harmful  to  the  nurses  themselves,"  and  further 

"  A  State  Register  of  Nurses,  far  from  being  a 
security,  to  the  public,  would  be  an  actual  source 
of  danger." 

No,  the  College  did  not  come  into  existence  to 
effect  the  State  Registration  of  Nurses.  It  came 
into  existence  to  attempt  to  circumvent  State 
Registration  by  a  voluntary  system  of  Registra- 
tion controlled  by  the  employers  of  nurses,  and 
only  recanted  when  its  promoters  found  we  State 
Registrationists  had,  by  thirty  years'  work  and  the 
expenditure  of  upwards  of  ;^2o,ooo,  convinced  the 
country  and  the  legislators  of  the  j  ustice  of  our 
cause.  Then  they  adopted  the  letter  of  registra- 
tion law  without  its  spirit. 

We  claim  a  just  Bill,  incorporating  self-determi- 
nation and  self-government.  The  College  Com- 
pany and  its  nominees  have  denied  this  funda- 
mental basis  of  good  government  and  have 
attempted  to  thrust  a  Bill  upon  us  incorporating 
a  lay  company'  and  its  tyrannical  Constitution  as 
the  General  Nursing  Council  of  our  profession. 
The  College  has  the  support  of  the  laity  who 
Control  the  large  Nursing  Schools   and   Nursing 


Institutions,  the  Anti-Registration  Party ;  their 
Bill  is  inspired  by  some  of  the  most  subtle  anti- 
feminists  in  our  midst,  and  their  claim  that  the 
government  of  the  College  is  democratic  is, 
presumably,  a  huge  joke. 

Take  a  few  of  its  provisions  : — 

2.  This  Council  has  power  : — 

(a)  To  appoint  any  persons  (whether  already 
members  or  not)  to  be  members  of  the  Council. 
(Article  37.) 

(b)  To  exclude  from  office  Matrons  of  Hospitals 
or  Superintendents  of  Nursing,  Sisters  or  Nurses 
who  are  not  engaged  in  the  active  practice  of  their 
profession.      (Article  35.) 

(0)  To  adopt,  if  thought  fit,  the  results  of  ex- 
aminations held  by  approved  Nursing  Schools  as 
sufficient  evidence  of  proficiency.  (Memo.  3 
(D.).) 

(d)  To  grant  certificates  .  .  .  Provided  that  the 
College  shall  not  grant  or  profess  to  grant  titles 
or  diplomas.     (Memo.   3  (E).) 

(e)  To  remove  from  the  Register  the  name  or 
names  of  any  person  or  persons  as  the  Council 
may   in   its   discretion  think   proper.      (Memo.    3 

(J)-) 

We  claim  professional  independence. 

We  take  exception  to  the  appeal  made  by  the 
British  Women's  Hospital  Committe'?  because 
(i)  as  professional  wom.en  we  object  to  be  made 
the  objects  of  a  War  Charity  by  a  self-appointed 
committee  of  Society  women  and  actresses  who 
know  nothing  of  our  professional  needs,  (2)  because 
to  endow  a  lay  Company  of  employers,  the  College 
of  Nursing,  Ltd.,  with  unlimited  funds  means  the 
subjugation  of  the  class  of  working  women  they 
are  attempting  to  control,  and  we  object  to  our 
independence  being  bought  up. 

Enough.  Our  American  readers  mil  not  have 
far  to  seek  to  realise  our  claim  that  if  these  anti- 
registrationists  are  converted  and  truly  penitent 
for  their  unreasoning  obstruction  to  nursing 
reform  in  past  years,  and  its  consequent  injury 
to  the  sick,  and  are  prepared  to  refund  to  working 
women  the  ;^20,ooo  they  have  spent  in  con- 
scientious agitation,  they  could  prove  their  bona 
tides  by  evincing  sympathy  with  oui  professional 
aspirations,  -without  adopting  our  programme,  and 
claiming  it  as  their  own. 

The  truth  is  the  attitude  of  the  Governors  and 
officials  of  our  Nurse-Training  Schools  is  British 
to  the  backbone.  We  are  in  the  aggregate 
creatures  of  habit,  a  dull,  worthy,  unimaginative 
people,  but  we  are  credited  with  being  honest. 

The  founders  of  the  College  must  repent  them  of 
their  stupidity  before  they  can  hope  to  inspire 
confidence  in  those  whose  ideas  they  have  ex- 
ploited with  such  avidity. 

Miss  Lloyd  Still  and  Miss  Amy  Hughes  are 
much  respected  ladies,  but  their  environment 
is  circumscribed.  They  look  down  on  mere 
mortals  from  the  heights  of  Olympus. 

We  claim  a  fair  field  and  no  favour. 

We  will  not  be  cooped  up  in  the  College 
compound. 


Jidy  13,   1918 


^be  Bntisb  3ournal  of  IRursina. 


3< 


A    LITTLE    BIT    OF    SUGAR. 


We  hope  we  shall  not  be  accused  of  undue 
vanity  if  we  reprint  the  following-  parag-raph 
from  the  "  Foreign  Department  "  of  the 
American  Journal  of  Nursing,  in  charg-e  of 
Lavinia  L.  Dock,  R.N.  ;  but  to  have  struggled 
for  the  past  thirty  years  for  professional  ideals 
in  an  antagonistic  and  reactionary  atmosphere 
at  home,  makes  the  appreciation  we  have 
always  received  abroad  doubly  sweet.  It  has 
been  the  "  spirit  "  which  has  sustained  the 
"  Dynamos  "  and  made  the  wheels  go  round. 

Our  Dear  Dynamos. 

For  many  years  we  have  been  in  the  habit  of 
calling  Mrs.  Bedford  Fenwick  and  Miss  Margaret 
Breay  afEectionately,  the/'  Dynamos,"  because  of 
their  unceasing  and  un,tiring  energy  in  all  the  mani- 
fold crises  met  with  in  the  process  of  conducting  a 
weekly  nursing  journaJ,  which  is  also  an  organ  of 
the  most  vital  propaganda — ^really  a  watch  tower 
quite  as  much  as  a  brilliantly-edited  magazine. 
The  chief  lady  dynamo,  Mrs.  Fenwick,  has  com- 
pleted, on  the  first  of  April  past,  her  fortieth  year 
of  professional  work,  sixteen  of  which  she  spent  in 
varied  pieces  of  active  nursing,  including  the 
matronship  in  one  of  England's  most  famous  hos- 
pitals, St.  Bartholomew's,  where  she  laid  the 
foundation  of  the  modern  democratic,  educational, 
enlightened  discipline  of  training-schools  as  against 
the  older  autocratic,  repressive  methods  ;  while 
her  last  twenty-four  year.=  of  the  most  intense  and 
unremitting  labours  for  the  advanced  education 
and  organisation  of  Aursco  in  self-governing  profes- 
sional bodies,  with  the  attainment  of  State  regula- 
tion of  nurses'  training  as  the  goal,  have  been  given 
their  special  fire  and  fervour  by  the  necessity  of 
combating  the  most  solid,  determined  and  obsti- 
nate hostility  to  the  economic  progress  of  women 
that  has  been  encountered  by  any  nurses  in  any 
otherwise  progressive  country.  We  do  not,  of 
course,  here  consider  those  countries  which  are  dis- 
tinctly unprogressive  as  regards  women.  In  these 
forty  years,  Mrs.  Fenwick  has  seen  her  ideals  sup- 
ported and  developed  in  many  countries,  and  these 
proofs  of  their  merit  have  given  her  courage  and 
joy  even  though  "  State  registration  still  hangs  in 
the  balance  "  in  Great  Britain. 

A  marvellous,  self-renewing  spring  of  energy  has 
been  hers.  She  writes  :  "  It  has  been  splendid  to 
have  been  given  health  and  strength,  energy  and 
spirit,  to  keep  the  cause  alive  for  all  these  years, 
and  to  realise  that  victory  is  at  hand."  Not  only 
on  these  well-known  lines,  but  in  mjrriad  ways  of 
civic  and  war  work  is  she  now  busy. 


THE  IRISH  NURSING  BOARD. 

The  first  of  the  three  yearly  elections  of  the 
Irish  Nursing  Board  was  held  in  the  Royal  College 
of  Surgeons  in  Ireland,  Dublin,  on  July  4th.  The 
voting  was  by  postal  ballot,  and  38  nurses  had 
been  nominated  to  fill  22  vacancies. 

The   following   22   names   received  the  largest 
number  of  votes,  and  were  dul)'  declared  elected  : — 
Miss    E.  T.  Bacon,  St.  Vincent's  Hospital. 
L.  Bradburne,  The  Meath  Hospital. 
Hon.  A.  L.  Brodrick,  Caher  Daniel,  co.  Kerry. 
Miss   T.  Doorly,  9,  Blackball  Place. 
,,       E.  Hezlett,  Richmond  Hospital. 
„       J.  Hughes,  Temple  Hill  Hosp.,  Blackiock. 
,,      M.  Huxley,  Elpis,  Lower  Mount  Street. 
„       J.  Jordan,  Mercer's  Hospital. 
,,       K.  Kearns,  29,  Gardiner's  Place. 
,,      M.  A.  Keating,  National  Maternity  Hosp. 
N.  McArdle,  Castle  Red  Cross  Hospital. 
Mrs.    F.  Manning,  Elpis,  Lower  Mount  Street. 
Miss   G.  O'Donel,  24,  Eccks  Street. 
„       M.  O'Flynn,  Cliildren's  Hosp.,  Temple  St. 
A.  M.  Phillips,  Dr.  Steevens  Ho.spital. 
C.  Pike,  38,  Ranelagh  Road. 
,,       A.  Carson  Rae,  34,  St.  Stepher's  Green. 
„       L.  Ramsden,  Rotunda  Hospital. 
,.,       A.  Reeves,  Royal  Victoria  Hospital. 

A.  S.  Rhind,  Cork  Street  Fever  Hospital. 
,,       E.  Sutton,  St.  Vincent's  Hospital. 

M.  Thornton,  Sir  Patrick  Dun's  Hospital. 
A  Meeting  of  the  Irish  Nursing  Board  was  held 
in  the  Royal  College  of  Surgeons  on  July  12th,  to 
elect  the  Committee. 

We  learn  that  certificated  Irish  Nurses  are  sup- 
porting this  movement  for  the  improvement  of 
their  professional  education  and  status  in  a  very 
satisfactory  manner,  and  many  intend  to  register 
as  soon  as  they  have  completed  their  three  years' 
training  and  have  obtained  their  Certificates. 


Twenty-five  teaching  Sisters  from  Roman 
Catholic  convents  in  Ontario  are  taking  a  special 
course  in  agriculture  at  Guelph  College.  This  is 
a  fine  example  to  thousands  of  idle  young  Soc'ety 
women  in  P^ngland. 


APPOINTMENTS. 

MATRON. 

Ilford  Maternity  Home. — Miss  Edith  Waring 
has  been  appointed  Matron.  She  held  the  position 
of  Ward  Sister  at  the  Chelsea  Hospital  for  Women. 

ASSISTANT     MATRON. 

St.    Mary,    Islington,     Infirmary,     Highgate     Hill, 

N.  19. — Miss  Jean  McKenzie  has  been  appointed 
Assistant  Matron.  She  was  trained  at  the  Toxteth 
Infirmary,  Liverpool,  where  she  was  afterward 
ward  and  theatre  Sister.  She  has  also  been  Night 
Sister  at  the  Mile  End  Military  Hospital,  and 
Assistant  Matron  at  the  Westminster  Infirmary. 
Hendon.  She  has  also  had  experience  of  District 
Nursing  as  a  Queen's  nurse. 

SISTER. 

General  Hospital,  Northampton. — Miss  Annie 
Askew  has  been  appointed  Sister.  She  was  trained 
at  the  Workhouse  Infirmary,  Portsmouth,  and  has 
been  Staff  Nurse  at  the  Royal  London  Ophthalmic 
Hospital,  and  Sister  at  the  Birmingham  Midland 
and  Eye  Hospital. 


33 


Jlbc  Britiab  3ournal  of  IRursino. 


July   13,    1918 


A    DESIRABLE    APPOINTMENT. 

A  desirable  appointment  in  the  nursing  world  is 
now  vacant  in  the  Cheltenham  Cjeneral  Hospital. 
For  particulars  in  regard  to  it  we  refer  our  readers 
to  our  advertisement  supplement. 

QUEEN    ALEXANDRA'S    MILITARY    NURSING 
SERVICE    FOR    INDIA. 

Miss  Helen  Dorothea  Campbell  and  Miss 
Margaret  Deans  Scott  have  been  appointed 
Nursing  Sisters  in  Queen  Alexandra's  Military 
Nursing    Service    for    India. 

QUEEN     VICTORIA'S    JUBILEE     INSTITUTE. 

Transfers  and  Appointments. 
Miss  Miriam  Booth  is  appointed  to  Charlton  ; 
Miss  Celia  R.  Clapson  to  South  Wimbledon  ;  Miss 
Agnes  C.  Cottrill  to  Brixton  ;  Miss  Mary  Crosse  to 
Leeds  (Armley)  ;  Miss  Ivy  A.  Fawkes  to  Man(  hes •■ 
ter  (Harpurhey)  ;  Mrs  Eva  Markby  to  Ports- 
mouth ;  Miss  Adelaide  J.  Pringle  to  Prestwich  ; 
Miss  Mary  F.  Ronchetti  to  Leeds  (Armley)  ;  Miss 
Janet  Wilcock  to  Radchffe ;  Miss  Edith  J. 
Woodhouse  to  Charlton. 


COLONIAL  NURSING  ASSOCIATION. 
Imperial  Institute,  S.W.  7. 

The  Committee  of  the  Colonial  Nursing  Associa- 
tion desire  to  notify  that  at  a  meeting  of  the 
Executive  Committee,,  held  at  the  Impierial 
Institute  on  Wednesday,  June  5th,  191 8,  the 
following  Resolution  was  unanimously  carried  : — 

"  That  from  and  after  the  date  of  the  next 
General  Meeting  (July  3rd,  191 8),  the  name  of 
the  Association  shall  be  the  Overseas  Nursing 
Association." 

By    Order    of    the    Committee. 

EDITH     CAVELL     HOMES. 

A  large  number  of  applications  are  being 
received  from  nurses  by  the  committee  of  the 
Edith  Cavell  Homes  of  Rest  for  Nurses,  of  which 
Queen  Alexandra  is  the  patron,  and  new  homes 
are  in  the  course  of  being  opened.  Funds,  are 
urgently  required.  Subscriptions  should  be  sent 
to  the  Hon.  Secretary,  25,  Victoria  Street,  S.W. 

PRACTICAL    POINTS. 

Vaseline  in  Ether  Anesthesia. 

"  M.P.A."  writes  in  the  American  Journal  of 
Nursing  :  "  CarboUsed  vaseline  applied  to  the 
nasal  niucosa  has  been  found  to  overcome  post- 
operative vomiting  and  to  do  away  with  the 
unpleasant  taste  of  ether  while  taking  it  and 
afterwards.  It  is  not  infallible,  but  in  a  number 
of  cases  it  has  been  most  successful  and  is  worth 
trying." 

AN     INTERESTING      ANNOUNCEMENT. 

Mr.  J.  S.  Wood,  the  Chairman,  has  purchased  the 
entire  interest  in  The  Gentlewoman  and  the  Press 
Printers,  Ltd.,  held  by  Mr.  Alex.  J.  Warden,  who 
has  now  no  connection  with  either  company. 


NURSING    ECHOES. 

The  Report  of  the  Treasurer  of  St.  Bartholo- 
mew's Hospital  for  1917  remarks  : — 

"  The  inadequate  and  unsatisfactory  housing 
of  the  Nurses  in  the  Hospital  is  a  subject  to 
which  I  have  referred  on  numerous  occasions, 
and  in  my  Report  for  1916  I  ex:pressed  the 
opinion  that  the  provision  of  a  suitable  Home 
must  be  dealt  with  immediately  upon  the  termi- 
nation of  the  war. 

"  I  fully  realise  that  the  task  of  raising  a 
large  sum  which  will  be  required  for  this  pur- 
pose will  be  an  extremely  difficult  one,  but  I 
would  urge  that,  as  a  preliminary,  a  Special 
Committee  should  be  appointed  forthwith  to 
consider  the  question  of  a  site,  arrange  for 
the  preparation  of  plans,  and  advise  as  to  the 
means  to  be  adopted  to  obtain  the  necessary 
funds  for  the  erection  of  the  building. 

"  The  urgency  of  this  matter  Is  naturally 
more  apparent  to  those  actively  engaged  In  the 
administration  of  the  Hospital,  and  I  venture 
to  think  the  views  I  have  expressed  will  be 
fully  endorsed  by  my  colleagues,  the  Almoners, 
and  by  those  members  of  the  Visiting 
Governors'  Committee  whose  duty  It  Is  to 
periodically  Inspect  the  existing  accommoda- 
tion." 

The  fact  Is  that  the  housing  ^f  the  Nursing 
Staff  at  St.  Bartholomew's  Hospital  Is  quite 
Inadequate  and  the  sanitary  arrangements 
obso'ete.  Upwards  of  thirty  years  ago  the 
question  of  providing  a  Nurses'  Home 
was  under  the  consideration  of  the  then 
Treasurer  and  Almoners,  and  that  a  catas- 
trophe from  fire  has  not  happened  Is  more 
from  good  luck  than  good  looking  for;  there 
has  been  more  than  one  narrow  escape.  Again, 
the  Nursing  School  attached  to  the  hospital  has 
been  most  seriously  handicapped  for  need  of 
proper  classrooms  and  teaching  facilities  for 
many  years  past.  The  neglect  of  the  Nurses* 
Interests  In  these  particulars  at  the  premier 
royal  hospital  In  the  Empire  Is  a  lesson  to  the 
community  that  no  class  of  worker  should  be 
entirely  left  to  the  mercy  of  Irresponsible 
employers,  however  benevolent  In  Intention. 
The  sooner  we  have  a  Ministry  of  Health, 
responsible  for  the  expert  Inspection  of  every 
Institution  where  sick  people  are  attended,  the 
better.  Generations  of  professional  women 
will  then  be  protected  from  the  control  of 
philanthropists  where  education  Is  concerned, 
and  conditions  of  housing  dangerous  to  life. 
His  Majesty  the  King,  who  Is  President  of  St. 
Bartholomew's  Hospital,  expressed  his  solici- 
tude for  the  health  and  comfort  of  Nursing 
Staffs   of    Hospitals    in    Lord    Stamfordham's 


July   13,    1918 


^be  Brittdb  3ournal  ot  Durema. 


33 


letter  to  the  Council  of  King  Edward's  Hospital 
Fund  for  London  in  December  last  :  it  is  doing 
His  Majesty  a  very  poor  service  to  permit  him 
to  run  the  risk  of  blame  for  neglect  and  injury 
to  the  devoted  nursing  staff  at  Bart's.  We 
hope  the  Governors  will  respond  whole- 
heartedly, as  suggested  by  Lord  Sandhurst,  as 
to  providing  a  new  Nurses'  Home. 


OUTSIDE    THE    GATES. 


We  are  glad  to  note  the  Nursing  Staff  are 
congratulated  on  the  honours  they  have 
received  for  war  work,  and  that  the  emolu- 
ments of  the  probationers  have  been  consider- 
ably increased.  The  Sisters  and  senior  officers 
are  generously  remunerated,  and  their  off-duty 
time  at  St.  Bartholomew's  Hospital  is  most 
liberal.  

The  Establishment  Committee  of  the  London 
County  Council  reported  to  the  Council  last 
Tuesday  that  they  have  not  deemed  it  desirable 
to  revise  the  scale  of  salaries  of  the  school 
nurses  in  the  Public  Health  Department  during 
the  war,  though  they  have  granted  war  wages 
of  9s.  a  week,  but  the  nursing  staff — 141  in 
number — have  submitted  a  petition  asking  that 
the  matter  may  be  reconsidered.  The  Com- 
mittee still  think  the  time  inopportune  for  a 
revision  of  the  scale,  but  consider  there  is 
justification  for  increasing  the  amount  of  war 
wages,  especially  as  there  has  been  a  consider- 
able number  of  resignations  among  the  staff  in 
order  to  take  up  more  remunerative  work. 
They  now  recommend  that,  as  from  the  ist 
July,  1918,  until  the  expiration  of  six  months 
after  the  declaration  of  peace,  the  war  wages 
of  9s.  a  week  granted  to  the  assistant  super- 
intendents of  school  nurses  and  the  nurses 
serving  on  the  permanent  staff  in  the  public 
health  department,  be  increased  by  ;^5o  a  year. 
This  recommendation  is  approved  by  the 
Finance  Committee,  and  provision  is  made  in 
its  estimates  for  the  necessary  increase  as  a 
matter  of  urgency. 


We  hear  from  several  Matrons  of  country 
hospitals  that  it  is  almost  impossible  to  get 
suitable  trained  women  to  fill  the  positions  of 
sister  and  night  sister.  We  wonder  if  an 
increase  of  salary  to  ;^5o  annually  would  not 
meet  with  some  respKjnse.  Hospital  com- 
mittees should  realise  that  the  supply  of  really 
well-trained  and  first-class  women  is  not  at 
present  equal  to  the  demand.  The  law  of 
economics  demands  an  uprising  scale  of  re- 
muneration. The  new-laid  summer  penny  egg 
is  now  5d. ;  for  a  spring  chicken  anything  from 
los.  to  15s.  Either  you  must  pay  for  them  or 
go  without.     It  appears  a  simple  proposition. 


The  New  Register. 

The  new  Parliament  Bill  brings  the  next  genf  ral 
election  a  little  nearer,  for  it  is  understood  that 
tliis  Bill  will  be  the  last  of  the  series.  If  an  election 
is  to  take  place  before  the  end  of  the  year  a  great 
speeding  up  of  the  new  register  will  be  necessai-y 
Women  are  all  longing  for  a  new  Parliament  which 
they  have  helped  to  elect.  We  want  young  fresh 
men  {and  women,  if  we  may  have  them)  full  of 
patriotism  and  energy.  We  want  to  set  to  and 
get  things  done  for  the  benefit  of  the  people. 
Make  Sure. 

The  new  voters'  lists  are  being  posted  at  post 
offi.ces,  churches,  chapels,  and  public  buildings. 
All  qualified,  including  women  over  30,  should  see 
their  names  are  included.  If  not,  information 
must  be  given  to  the  local  registration  officer 
before  July  17. 

We  Offer  Sympathy. 

We  ofEer  sincere  sympathy  to  our  American 
Sisters,  that  after  all  their  strenuous  work,  into 
which  many  of  them,  like  Lavinia  Dock,  have  put 
their  whole  heart,  the  requisite  two-thirds 
majority  in  the  Senate  of  the  United  States  was 
not  obtained  for  the  Woman  Suffrage  amendment 
to  the  Federal  Constitution,  in  spite  of  the 
president  having  openly  advocated  woman  suffrage 
for .  the  United  States,  as  part  of  the  creed  of 
democracy  for  which  the  war  is  being  fought.  A 
few  reactionary  Senators  have  turned  it  down, 
men,  we  learn,  described  as  "  crusted  Tories  and 
Junkers,  old  slave  holdero."  The  result  is  that, 
after  a  battle  of  nearly  thirty  years  to  get  the 
Federal  Amendment  through  Congress,  it  will  be 
necessary  for  the  women  to  begin  all  over  again 
at  the  next  session  to  put  the  measure  through 
the  lower  House.  Anyway,  these  "  old  slave 
holders  "  who  defeated  the  amendment  have  given 
abroad  in  enemy  countries  the  impression  that 
America  is  not  as  far  advanced  as  her  slogans  of 
democracy  would  indicate.  She  must  wipe  out 
this  impression  at  the  first  possible  opportunity. 

SANITAS. 

A  most  satisfactory  report  was  presented  at  the 
twentieth  ordinary  general  meeting  ot  the 
"  Sanitas  "  Company,  Ltd.,  on  July  3rd,  at 
Winchester  House,  Old  Broad  Street,  E.C.  The 
Chairman,  Mr.  C.  T.  Kingzett,  F.I.C.,  F.C.S.,  in 
moving  the  adoption  of  the  report  and  accounts 
said  that  the  business  of  the  company  had  been 
well  maintained.  In  some  directions  there  had 
been  great  extensions,  notwithstanding  the  diffi- 
culties attendant  upon  trading  in  these  days — the 
scarcity  of  materials,  difficulties  of  securing 
licences  to  obtain  them,  scarcity  of  freight,  deple- 
tion of  staff,  and  so  forth.  The  volume  of  trade 
had  nevertheless  increased  proportionately.  Both 
sales  and  profit  constituted  a  record  in  the  history 
of  the  company.  The  reserve  fund  has  been 
increased  by  over  £y,ooo,  and  the  total  dividend 
for  the  year  has  been  8  pei  cent. 


34 


ITbe  Sritteto  Sournal  of  Burdtna. 


July   13,   1918 


LETTERS  TO  THE  EDITOR. 

Whilst  cordially  inviting  communications  upon 
all  subjects  Jar  these  columns,  we  wish  it  to  ht 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

WHY  NOT  STOP  THE  5ALE  OF  THIS 
MISLEADING    BADGE? 

To  the  Editor  o/The  British  Journal  of  Nursing. 

Dear  Madam, — The  attention  of  the  Council 
of  the  Nightingale  Fund  has  been  drawn  to  the 
fact  that  a  trading  association  has  been  selhng  a 
badge  which  they  call  the  "  Nightingale  Badge," 
and  the  Council  feel,  therefore,'  that  they  ought  to 
explain  that  the  selhng  of  this  badge  is  not  author- 
ised by  them,  and  that  its  possession  does  not 
imply  that  the  owner  has  received  a  training  at 
the  Nightingale  School. 

It  would  appear  tha.t  the  badge  can  be  purchased 
by  any  nurse,  or  indeed  anyone,  if  she  wishes. 

.  My' Council,  therefore,  feel  it  right  to  make 
this  explanation  and  dicclaimer  in  response  to 
requests  that  have  come  to  them  from  influential 
quarters  in  the  nursing  world,  and  they  will  be 
much  obhged  if  3^ou  will  give  it  as  wide  pubUcity 
as  possible. 

I  am,  dear  Madam, 

Yours  faithfully, 

W.  H.  Bonham-Carter, 
Secretary  0/  the  Nightingale  Training 
School. 

[It  will  be  remembered  that  a  correspondent 
drew  public  notice  to  this  matter  in  this  Journal 
a  iew  weeks  ago.  At  the  request  of  the  Matron 
of  St.  Thomas'  Hospital  we  placed  further  informa- 
tion at  her  aisposal,  and  congratulate  the  Com- 
mittee of  the  Nightingale  School  for  Nurses  on 
disclaiming  responsibility  for  this  "Nightingale 
Badge."  For  the  protection  of  "Nightingales" 
we  suggest  the  Committee  should  take  steps  to 
prcA^ent  the  sale  *  f  this  "  badge,"  Avhich  any 
person  trained  or  not  can  buy,  and  wear.  It  is 
calculated  to  mislead  the  public. — Ed.] 

HUMILIATING     HUMBUG. 

To  the  Editor  0/  The  British  Journal  of  Nursing. 
Dear  Madam, — I  wonder  how  much  deeper  of 
the  cup  of  humiliation  the  nursing  profession  will 
have  to  drink — to  the  very  dregs  ?  I  happened 
to  walk  into  Waring  &  Gillow's  shop  the  other 
day,  where  I  saw  a  most  extraordinary  entertain- 
ment in  progress.  Miss  Elizabeth  Asquith  was 
exhibiting  a  wax  cioU,  which  she  informed  me 
represented  Queen  Alexandra  in  her  wedding 
dress.  Upon  further  questioning,  I  learned  that 
this  toy  was  to  be  raffled  for  "  The  Nation's  Fund 
for  Nurses,"  so  called.  I  gave  her  to  understand 
very  clearly  that  self-respecting  nurses  resented 
being  held  up  as  objects  of  charity.  I  further 
informed  her  that  the  only  thing  we  did  want 
was  what  her  father — when  Prime  Minister — had 
had  the  power  to  give  us,  and  had  refused,  namely, 


State  Registration ;  and  that  what  we  did  not 
want  was  that  she  should  patronize  the  nurses 
in  such  an  insulting  way  as  to  invite  raffling 
(gambling  is  the  most  honest  term)  over  a  wax  doll 
to  obtain  charity  money  for  trained  nurses. 
What  has  Miss  Asquith  to  do  with  the  Nursing 
Profession  I  should  much  like  to  know.  Instead 
of  this  unjustifiable  interference,  she  would  be 
better  employed  doing  some  work  of  national 
importance,  and  this  I  told  her  as  a  parting  word  of 
advice.  Where  is  the  esprit  de  corps  among  nurses 
if  they  can  tolerate  this  ignoble  treatment  of 
what  is  often  called  by  those  who  deUght  to 
humiliate  it — "  a  noble  profession"  ? 
Yours  indignantly, 

Beatrice  Kent. 
P.S. — I  am  in  perfect  sympathy  and  agreement 
with  Henrietta  Hawkins  in  the  views  she  expresses 
about  the  work  which  the  splendid  official  report 
of  the  work  of  the  Society  for  State  Registration 
represents,  and  I  enclose  a  donation  towards  the 
expenses  with  the  greatest  pleasure  and  gratitude. 

[Appreciation,  as  well  as  financial  support  for 
a  just  Bill,  is  most  welcome. — ^Ed,] 

A  QUESTION  OF  IMPORTANCE  TO  MENTAL 
NURSES. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — I  was  much  interested  in  Captain 
Kirkland-Whittaker's  remarks  at  the  Annual 
Meeting  of  the  Asylum  Workers'  Association  {The 
Asylum  News,  p.  18)  on  the  promotion  of  mental 
nurses  to  the  posts  of  Assistant  Matron  and  Matron, 
and  from  the  applause  they  received  it  would  appear 
that  the  sentiments  were  approved  of  by  the  whole 
meeting-.  It  is  interesting  to  record  that  he  repeats 
in  England  the  views  which  were  expressed  in 
Scotland  by  Dr.  Yellowlees,  of  Gartnavel  (the 
Father  of  the  Medico-Psychological  Association), 
so  long  ago  as  1898.  While  agreeing  with  Captain 
Kirkland-Whittaker  that  the  matron  of  an  Asylum 
ought  to  be  fully  qualified  in  her  profession,  and 
hold  both  the  Certificates  of  Hospital  Nursing  and 
of  Proficiency  in  Mental  Nursing,  he  thought  the 
best  matrons  were  those  who  had  first  been  mental 
nurses  and  had  subsequently  completed  their  train- 
ing in  the  wards  of  a  Greneral  Hospital.  The 
Asylum,  he  eloquently  said,  was  their  "  first  love," 
and  their  interest  in  work  of  this  kind  of  institution 
would  be  greater. 

Dr.  Yellowlees'  remarks  were  made  during  a 
discussion  on  the  training  of  hospital  nurses  in 
mental  work  for  the  purpose  of  fitting  them  to 
become  matrons  of  Asylums.  A  considerable 
number  since  1880  had  been  appointed  matrons  of 
Asylums  in  Scotland,  and,  owing  to  their  want  of 
training,  with  indifferent  success  in  many  cases. 
I  thought  this  defect  should  be  rectified,  and  I 
induced  the  first  hospital  nurses  to  enter  the  wards 
of  an  Asylum  in  the  year  1896.  The  prestige  of  the 
Asylum  service  was  then  so  low  that  it  took  nearly 
a  year  before  I  could  get  a  single  candidate.  Two 
others  came  shortly  afterwards.  All  three  became 
matrons  of  Asylums  within  three  years,  and  after 


The  Bntteh   Toumul  of  Nurtutg,  July  12,  tflS. 


"  Science  is,  I  b^eve, 
nothing  but  trained  and 
organized  common-sense, 
differing  from  the  latter 
only  as  a  veteran  may 
differ  from  a  raw  recruit: 
and  its  methods  diffe' 
from  those  of  common- 
sense  only  so  far  as  the 
Guardsman's  cut  and 
thrust  differ  from  the 
manner  in  which  a  savage 
wields  his  club." 

Professor  Huxley. 


The  Basis 
of 
Science 


BOOTS  PURE  DRUG  COMPANY  LIMITED  wish  to  draw  the 
attention  of  the  medical  profession  to  the  following  seven  scientific 
preparations.  Practitioners  who  endeavour  to  keep  abreast  of  the  times 
will  find  these  modern  antiseptics  of  superlative  value  in  general  practice. 


CHLORAMINE-T 

(p-lolutnt-todium-tulphochloramide). 

Dakin's  ideal  antiseptic,  of  wide  applicability  ia 
medicine  and  surgery. 

In  bottles  of  loz..  1/2;   4oz.,  3/6;  lib.,  12/6 

CHLORAMINE-T  GAUZE 

In  two  strengths,  containing  approximately  5% 
and  35%  Chloramine-T.  (5%  supplied  unlets 
otherwise  specified).  This  should  be  fixed  dry 
and  subsequently  moistened,  if  necessary,  when 
in  position. 

In  sealed  packages  only,  price  1/6  per  package. 

PROFLAVINE 

(3'6  diamino-acridint-tulphate). 
The  improved  Flavine  derivative. 

Equal  in  antiseptic  powers  to  Acriflavine,  and  in 
important  respects  superior,  being  markedly  less 
toxic  and  less  irritating.  Proflavine,  being  less 
costly  to  manufacture,  can  be  sold  at  a  substantially 
lower  price  than  Acriflavine. 

5  gram  bottle,  1/4 :  20  gram  bottle,  5/- 

HALAZONE  TABLETS. 


TABLETS  OF  CHLORAMINE-T 

One  tablet  dissolved  in  two  ounces  of  water  makes 
a  one  per  cent,  solution. 

Bottles  of  25.  8'75  grain  tablets,  1/2 

SO.     .,  „  ..        2/- 

100 3/9 

One  tablet  dissolved  in  ten  ources  of  water  makes 
a  one  per  cent,  solution. 

Bottles  of  12  43-75  grain  tablets,  1/10 

CHLORAMINE-T  CREAM 

Containing  approximately  one  per  cent.  Chlora- 
mine-T. Described  and  investigated  under  the 
name  of  Chloramine  Paste  by  Vincent  Daufresnc. 
Carrel,  Hartmann  and  others,  in  the  Journal  of 
Experimental  Medicine,  1917. 

In  Pots.    Trial  size,  9(L :  large  size,  2/6. 

TABLETS  OF  PROFLAVINE 

(lOilh  sodium  chloride). 

One  tablet  dissolved  in  four  fluid  ounces  sterile 
water  makes  1:1000  Proflavine  in   normal  salin*. 

Bottles  of  100  tablets,  3/6 


DAKIN'S   NEW  WATER   DISINFECTANT. 
Vidm  B.M.J.,  May.  1917. 


VU 


The  action  of  Halazone  is  positive,  and  may  be  relied  upon  for  crudest  waters.  Each  tablet  is  sufficient  to 
sterilize  one  quart  of  contaminated  water,  but  in  cases  of  extreme  contamination  a  second  tablet  may  be 
accessary.    Halazone  is  invaluable  for  those  on  active  service  overseas,  more  particularly  in  hot  climates. 

Bottles  of  100  tablets,  6d. 

Supplies  are  available  for  prescription  service  on  application 
through  any  of  the  branches  of  BOOTS  THE  CHEMISTS. 

Boots  Pure  Drug  Company  Limited 

MANUFACTURING   CHEMISTS    AND   MAKERS   OF   FINE   CHEMICALS. 
Head  Offices:    Station  Street.  Nsttingham.       JESSE  BOOT,  Managing  Director. 


36 


Z\)e  British  3ournal  of  flurginfi. 


July   13,    1918 


that  candidates  became  numerous.  The  full  double 
training  is,  of  course,  a  tremendous  advantage  to 
any  applicant  for  a  matron's  post.  No  person 
should,  however,  be  appointed  matron  of  an 
Asylum,  if  it  can  be  avoided,  who  does  not  hold  the 
Certificate  of  Proficiency  in  Mental  Nursing,  and 
the  training  which  was  instituted  in  1896  for  hos- 
pital nurses,  and  adopted  in  many  other  Asylums 
since  then,  obviates  the  necessity  of  doing  this. 

In  answer  to  Dr.  Yellowlees  I  replied  that  enter- 
prising and  intelligent  mental  nurses,  meeting 
hospital  nurses  in  the  wards  of  Asylums,  would  be 
induced  to  complete  their  training  in  Hospitals, 
and  would  in  their  turn  be  available  for  matrons' 
posts.  Also  that  the  status  of  Asylum  nurses  would 
be  improved  by  Hospital  nurses  working  in  the 
wards  of  Asylums.  My  surmises  both  proved 
correct.  Scores  of  my  nurses  have  taken  their  hos- 
pital training.  I  fancy  this  practice  is  more  pre- 
valent in  Scotland  than  in  England,  as  our  Asylums 
have  become  more  hospitalised  and  we  employ  more 
hospital  nurses  in  them.  The  result  of  this  is  that 
many  mental  nurses  who  have  completed  their 
double  training  in  hospitals  are  afterwards 
appointed  assistant  matrons,  and  some  do  ulti- 
mately become  matrons  of  Asylums.  Lately,  I 
think  four  out  of  five  assistant  matrons  at  the  West 
House  of  the  Morningside  Royal  Asylum  had  begun 
their  career  as  mental  nurses.  During  the  last 
three  years  three  at  least,  if  not  more,  of  my  former 
assistant  matrons,  who  started  as  mental  nurses, 
have  been  appointed  matrons  of  English  Asylums. 
More  mental  nurses  may  be  appointed  matrons  than 
Captain  Kirkland-Whittaker  suspects,  but  they 
usually  have  the  double  training,  which  we  all 
think  so  desirable.  In  any  case,  good  mental 
nurses  are  now  coming  into  their  own  in  this 
respect,  as  I  predicted  twenty  years  ago  they  would, 
and  the  status  of  mental  nurses  is  much  higher  now 
than  then. 

Hard  lines  still  occur,  as  when  a  faithful  experi- 
enced mental  nurse  is  passed  over  for  a  younger 
woman  who  holds  both  certificates.  Some  weight 
must,  of  course,  be  attached  to  the  possession  of 
the  second  certificate,  and  the  interests  of  the 
patients  and  the  institution  must  come  first.  One 
cannot  fail  to  sympathise  with  these  older  officials ; 
not  so  much,  however,  with  the  younger  generation 
of  rnental  nurses.  Those  of  them  who  are  enter- 
prising and  ambitious  should  know  by  this  time 
that  if  they  aspire  to  the  higher  posts  they  must 
complete  their  training  in  a  general  hospital.  If 
they  do  this,  there  are  many  I  know  of,  like  Dr. 
Yellowlees,  who  will  give  them  a  preference  when 
opposed  by  candidates  who  are  equally  qualified, 
but  whose  "  first  love  "  has  not  been  the  Asylum. 

I  do  not  think  there  is  any  diflficulty  such  as 
Captain  Kirkland-Whittaker  suggests  in  a  mental 
nurse  completing  her  training  in  a  general  hospital. 
My  experience,  which  is  not  exceeded  by  anyone, 
is  opposed  to  this.  She  must,  of  course,  resign 
her  asylum  post  after  obtaining  her  certificate, 
which  she  can  do  by  giving  a  month's  notice.  She 
will  find  she  will  have  less  difficulty  than  the  un- 
trained   woman    in   entering   a    Hospital,    as    the 


certificate  of  the  Association  which  she  possesses, 
•I  am  proud  to  say,  is  held  in  high  esteem.  The 
matron  of  the  Hospital  knows  that  she  is  not  a 
raw,  untrained,  ordinary  probationer.  If  she  has 
done  good  service  in  the  Asylum,  the  Superinten- 
dent and  the  Matron  will  help  her  to  enter  a 
Hospital. 

I  think  it  distinctly  hard  that  one  year  should  not 
be  deducted  from  the  three  required  for  Hospital 
training,  in  virtue  of  her  mental  certificate,  as  is 
done  when  a  hospital  nurse  enters  for  the  mental 
certificate.  This  point  has  already  been  brought 
by  the  Medico- Psychological  Association  to  the 
notice  of  the  College  of  Nursing,  and  the  favour 
will  no  doubt  ibe  obtained  in  time.  It  was  several 
years  before  the  Medico-Psychological  Association 
itself  granted  the  favour  to  hospital  nurses.  As  I 
was  the  first  to  train  hospital  nurses  in  Asylums,  I 
naturally  proposed  at  the  meeting  that  this  favour 
should  be  accorded  them,  but  I  underwent  the 
trying  experience  of  not  finding  anyone  to  second 
my  proposal.  Several  years  afterwards,  at  a  large 
meeting  in  London  at  which  I  was  present.  Dr. 
Mercier  made  a  similar  proposal,  and  he  not  only 
found  a  seconder,  but  his  motion  was  enthusias- 
tically carried  without  a  dissentient  voice.  His 
argument  may  have  been  as  lucid,  interesting,  and 
convincing  on  that  occasion  as  his  speech  was  at 
the  Annual  Meeting,  and  the  times  may  have  been 
ripe. 

I  am.  Madam,  &c., 
George  M.  Robertson,  M.Dt,  F.R. C.P.Ed., 
Physician-Superintendent  of  the 
Royal  Edinburgh  Asylum. 

KERNELS      FROM     CORRESPONDENCE, 

Self-supporting  Nurse  : — "  I  ventured  into  Self- 
ridges  the  day  last  week  that  actresses  and  others 
were  selling  tickets  for  the  Nation's  Fund  for 
Nurses.  I  told  one  lady  how  strongly  many 
nurses  objected  to  its  being  done  as  a  war  Charity. 
She  kept  repeating,  "  Nonsense,  Miss  Davies  must 
know  !  "  I  resented  this.  Who  is  Miss  Davies, 
and  what  has  she  to  do  with  my  freedom  of 
opinion  ?  She  is  neither  the  keeper  of  my  con- 
science nor  my  purse.  I  claim  the  right  to  form 
an,d  express  my  own  opinions.  To  the  little 
actress  in  question,  this  appeared  entirely  super- 
fluous." 

[It  would.— Ed.] 


OUR    PRIZE    COMPETITIONS. 

July  20th. — State  fully  how  you  would  disinfect 
a  bedroom  and  its  furnishings. 

July  27th. — What  are  the  chief  racial  poisons  ? 
What  steps  should  be  taken  to  prevent  and 
counteract  their  effects  ? 


OUR    ADVERTISERS. 

Do  not  omit  to  buy,  as  far  as  possible,  every- 
thing you  need  from  "Our  Advertisers,"  and  to 
recommend  them  to  your  friends.  They  are  all 
first-class  firms. 


July  13,  1918     {ibc  »rttl0b  3ournal  of  flur«lna  Supplement* 

The 


37 


THE  MIDWIVES'  ACT  AMENDMENT  BILL 

On  Tuesday,  July  and,  as  we  briefly  notified 
last  week,  the  House  of  Lords  resolved  itself  into 
Committee  to  consider  the  Midwives  Bill,  the  Earl 
of  Donoughmore  being  in  the  chair. 
Future  Revision  of  Constitution  of  Central 
Midwives'  Board. 

Clause  I  of  the  Midwives'  Act  Amendment  Bill 
is  important,  because,  if  passed  into  law,  it  confers 
on  the  Central  Midwives'  Board  of  England 
powers  which,  so  far,  it  has  not  possessed.  It 
provides  that  : — 

I.  (i)  The  Central  Midwives'  Board  may  at  any 
time  represent  to  the  Privy  Council  that  it  is 
expedient  to  modifj'  the  constitution  of  the 
Board,  either  by 

(rt)  increasing  or  diminishing  the  number  of 
persons    appointed  by  any  body   or  person  ;    or 

(6)  abolishing  the  power  of  appointment  by 
any  body  or  person  ;    or 

(c)  conferring  on  any  body  or  person  a  power 
of  appointment  of  one  or  more  persons  ;    or 

{d)  altering  the  term  of  office  or  quahfications 
of  any  members. 

The  Privy  Council  is  then  to  cause  such  repre- 
sentation to  be  laid  before  both  Houses  of  Parlia- 
ment ;  and,  if  within  forty  days,  either  House 
presents  an  address  to  His  Majesty,  declaring  that 
the  representation,  or  any  part  thereof,  ought 
not  to  be  given  effect  to,  no  further  proceedings 
shall  be  taken  in  respect  of  the  representation  in 
regard  to  which  the  address  has  been  presented ; 
otherwise,  it  shall  be  lawful  for  His  Majesty, 
by  Order  in  Council,  to  give  effect  to  the  same. 

This  provision  is  made  both  in  the  Midwives 
(Scotland)  Act,  1915,  and  the  Midwives  (Ireland) 
Act,  1918 ;  but  the  Amending  Bill  makes  no 
provision  for  "  bringing  the  English  Act  into  lino 
with  those  in  the  other  parts  of  the  United  King- 
dom," by  the  inclusion  of  certified  midwives 
upon  their  governing  body. 

A   Vital  Omission. 

This  omission  has  always  been  a  very  grave 
blot   upon  the  English  Act. 

In  the  Amending  Bills  introduced  into  the 
House  of  Lords  in  igio  by  Lord  Presidents  of  the 
Council,  first  Viscount  Wolverhampton  and  then 
Earl  Beauchamp,  steps  were  taken  to  rectify  it. 
Both  Bills  proposed  that  two  certified  midwives 
should  be  appointed  on  to  the  Central  Midwives' 
Board — one  by  the  Incorporated  Midwives'  Insti- 
tute, and  one  by  the  Royal  British  Nurses'  Associa- 
tion. During  the  passage  of  Earl  Beauchamp'g 
Bill  through  the  House  of  Lords,  the  representation 
of  the  Midwives'  Institute  was  increased  by  the 
addition  of  a  medical  representative,  and  that  of 
the  R.B.N. A.  was  (by  a  majority  of  six)  altered  to 
give  it  the  option  of  appointing  a  representative 


other  than  a  certified  midwife — though  Lord 
Beauchamp  opposed  the  amendment  on  the 
ground  that  out  of  a  Board  of  fourteen  appointed 
to  deal  with  midwives,  it  was  not  unreasonable 
that  two  of  the  members  should  be  midwives. 
Before  the  Bill  passed  into  law,  the  House  of 
Commons  of  1910  was  dissolved. 

The  Central  Midwives'  Board  for  Scotland 
consists  of  eleven  persons.  Three  of  these  are 
appointed  by  the  Lord  president  of  the  Council 
and  two  of  the  three  must  be  certified  midwives. 

The  Central  Midwives  Board  for  Ireland 
consists  cf  eleven  persons,  four  of  whom  are 
midwives. 

The  Central,  Midwives'  Board  for  England 
consists  of  nine  persons,  none  of  whom  need  be 
midwives. 

Why  should  not  the  Amending  Bill  provide 
for  the  addition  of  two  certified  midwives  to  the 
Board  ?  The  grievance  of  English  midwives  will 
be  accentuated  if  a  Bill  of  wnich  the  declared 
purpose  is  to  bring  it  into  line  with  those  in  other 
parts  cf  the  United  Kngdom  fails  to  do  so  in  this 
vital  particular.  It  is  a  point  which  midwives 
should  not  allow  to  be  lost  sight  of  in  the  House 
of  Commons,  and  should  urge  upon  their  local 
Members  of  Parliament — and  especially  upon 
Labour  Members. 

An  Amendment  was  adopted  on  July  2nd  to 
section  five  of  the  principal  Act.  This  section 
provides  that  the  Central  Midwives  Board  shall, 
as  soon  as  practicable  after  December  31st  in 
each  year,  publish  a  financial  statement,  and 
submit  a  copy  to  the  Privy  Council.  If  there  is 
any  balance  against  the  Board,  and  the  balance 
is  approved  by  the  Privy  Council  the  Board  may 
apportion  such  balance  between  the  councils  of 
the  several  counties  and  county  boroughs  in 
proportion  to  the  number  of  midwives  who  have  given' 
notice  during  the  year  of  their  intention  to  practise 
in  those  areas  respectivel\^  and  may  recover  from 
the  councils  the  sum  so  apportioned. 

The  amendment  provides  that  the  apportion- 
ment of  such  balance  shall  be  in  proportion  to  the 
population  of  those  counties  and  county  boroughs, 
according  to  the  returns  of  the  last  published 
census  for  the  time  being.  Tiiis  is  obviously  an 
improvement,  and  a  more  just  arrangement.  If 
the  basis  of  apportionment  is  the  number  of 
practising  midwives,  then  the  more  active  a  county 
or  county  borough  is  in  inducing  midwives  to 
practise,  the  larger  the  amount  of  the  subsidy 
which  can  be  recovered  by  the  Central  Midwives' 
Board,  while  a  slack  authority  gets  off  lightly. 

Section  3  makes  the  following  necessary  addition 
to  section  7  of  the  principal  Act : — • 

"  A  certificate  purporting  to  be  signed  by  the 
Secretary  of  the  Board  that  the  name  of  a 
woman  whose  name  appears  in  the  roll  of  mid- 


38         Jlbc  3Br!tl6b  3ournal  of  "Wurelnc  Supplement.     My  ^3,  1918 


wives  has  been  removed  from  the  roll  and  of  the 

date  of  such  removal  shall  be  evidence  that  such 

woman  is  not  certified  under  this  Act,  and  of  the 

date  as  from  which  she  ceased  to  be  so  certified." 

Section  4  makes  provision  for  the  payment  of 

reasonable  expenses  to  members  of  the  Board  in 

respect  of  their  attendance  at  meetings  on  a  scale 

approved  by  the  Privy  Council. 

Section  5  deals  with  the  annual  report  of  the 
Board  to  the  Privy  Council.  Such  a  report  is,  in 
fact,  already  made  by  the  Board.  The  section 
provides  that  it  shall  contain  "  such  particulars 
as  the  privy  Council  may  direct." 

Section  6  (i)  authorises  the  Central  Midlives 
Board  to  frame  rules  deciding  the  conditions  under 
which  midwives  may  be  suspended  from  practice 
and  includes  a  power  cf  framing  rules — 

(a)  Authorising  the  Board  to  suspend  a 
midwife  from  practice  in  lieu  of  striking  her 
name  off  the  roll  and  to  suspend  from  practice 
any  midwife  accused  before  the  Board  ot 
disobeying  rules  or  regulations,  01  of  other 
misconduct,  until  the  case  has  been  decided 
and,  in  the  case  of  an  appeal,  until  the  appeal 
has  been  decided. 

(&)  Authorising  the  local  supervising  authority 
which  takes  proceedings  against  a  midwife  before 
a  Court  cf  Justice,  or  reports  a  case  for  con- 
sideration by  the  Central  Midwives  Board,  to 
suspend  her  from  practice  until  the  case  has 
been  decided. 

At  present,  neither  the  Central  Midwives  Board 
nor  a  local  supervising  authority  has  power  of 
suspension  in  a  punitive  or  disciplinary  sense, 
though,  under  its  rules,  local  supervising  authori- 
ties may  suspend  a  midwife  from  practice  to 
prevent  the  spread  of  infection. 

Section  6  (2)  provides  that  when  a  case  has 
been  decided  in  favour  of  a  midwife  who  has 
been  suspended  from  practice  pending  its  deoisicn, 
the  Board,  or  local  supervising  authority  con- 
cerned, "  may,  if  they  think  fit,  pay  hor  such 
reasonable  compensation  for  loss  of  practice  as 
under  the  circumstances  may  seem  just" 

"  Breaking  a  Lance  for  the  Midwife." 
On  this  Clause,  he  Earl  of  Meath  moved  to 
delete  the  words  we  have  quoted,  and  to  insert 
"  shall  pay  her  reasonable  compensation  for  loss 
of  practice,"  because,  as  he  explained,  it  appeared 
to  him  there  is  a  want  of  elementary  justice  in  this 
second   sub-section. 

"  I  wish,"  he  continued,  "  to  breaks  lance  for 
the  midwife.  It  appears  to  me  she  is  hardly 
properly  treated.  You  give  power  to  the  Central 
Midmves'  Board  and  to  the  local  supervising 
authority  to  suspend  her,  but  if  it  is  proved  that 
she  is  innocent  it  would  be  only  justice  that  some 
reasonable  compensation  should  be  given  to  her 
for  loss  of  practice.  .  .  .  Once  upon  a  time,  Mr. 
Gladstone  said  that  we,  in  this  House,  lived  up  in 
a  balloon  ;  but  I  think  we  know  enough  of  affairs 
terrestrial  to  be  aware  of  the  fact  that  a  prosecutor 
is  not  likely  to  do  justice  to  a  defendant  it  it  is 


proved  that  the  defendant  is  innocent,  and  that 
the  prosecutor  is  the  very  last  person  to  give  com- 
pensation and  thus  be  hkely  to  stultify  himself." 

Viscount  Peel  said  he  did  not  think  the  noble 
Earl  ve^d  aisplay  any  anxiety  that  there  would 
not  be  plenty  of  noble  I^ords  in  that  House  who 
would  break  lances  on  behalf  of  midwives,  because 
in  his  experience,  they  had  many  strong  friends, 
rot  only  there,  but  in  +he  other  House.  He  was 
advised  that  the  particular  propo^^al  of  the  noble 
Lord  would  make  little,  if  any  difference  in  prac- 
tice. Further,  he  believed  it  would  be  far  better 
to  leave  the  whole  matter  to  the  fair  discretion  of 
the  Board.  He  hoped  the  noble  Earl  would  not 
press    his   amendment. 

The  Earl  of  Meath  said  the  noble  Viscount 
had  alluded  to  the  Central  Midwives'  Board,  but 
not  to  the  local  supervising  authority,  which  was 
the  body  least  likely  to  give  the  compensation 
needed. 

On  question,  the  Amendment  was  negatived 
and  Clause  6  agreed  to. 

{To  be  concluded.) 


NATIONAL    BABY    WEEK. 

Presiding  at  a  meeting  at  the  Central  Hall, 
Westminster,  during  Baby  Week,  Sir  Francis 
Champneys,  Chairman  of  the  Central  Midwives' 
Board,  advocated  a  closer  co-operation  between 
medical  practitioners  and  midwives  and  a  longer 
training  for  the  latter.  Their  status,  he  said 
must  be  increased  and  the  calling  made  more 
attractive.  He  also  spoke  of  the  great  future 
before  ante-natal  clinics  and  the  necessity  for  the 
provision  of  decent  houses — housing  conditions 
affected  the  health  of  mother  and  child  enormously. 

Pathological  Section  of  the  Exhibition. 

Admission  to  this  section  was  restricted  to 
doctors,  nurses,  midwives,  sanitary  inspectors, 
health  visitors  and  infant  welfare  workers.  Very 
terrible,  but  veiy  informing,  wore  some  of  the 
exhibits,  showing  various  diseases  and  abnor- 
malities,  including  the  ravages   of   syphilis. 


"ORDER   OF  THE    BRITISH    CRADLE." 

At  the  opening  of  a  day  nursery  at  Stuart 
Crescent,  V^ood  Green,  last  Saturday,  Mr.  Pett 
Ridge  said  that  while  a  great  many  Orders  had 
been  given  to  more  people  than  wanted  them,  no 
one  bad  thought  of  creating  the  Order  of  the  British 
Cradle,  to  be  given  to  mothers  who  brought  up 
their  children  well  under  difficulties.  A  small 
boy  of  three,  on  being  brought  one  day  to  a  Hoxtoa 
nursery,  cried  bitterly  when  his  mother  left  him. 
The  next  morning  the  mother  stayed  chatting 
with  the  sister  for  a  few  moments  to  break  the 
anguish  of  the  parting,  but  the  boy  glanced  up 
from  his  playthings  on  the  floor  and  said,  "  'Op  it, 
mother." 

We  don't  like  that  little  boy. 


THE 

A. 

WITH  WHICH  IS  INCORPORATED 

aiE  MBMSXIKI  M^COIII 

EDITED  BY  MRS  BEDFORD  FENWICK 


umo 


No.  1,581. 


SATURDAY,   JULY   20,    1918. 


Vol.    LXI 


EDITORIAL. 


FRANCE'S     DAY. 

REQUIEM    FOR    THE    FALLEN. 

"  Pray  for  my  soul.     More  things  are  wrought  by 
prayer  than  this  world  dreams  of.'' 

It  is  the  common  instinct  of  humanity  to 
honour  the  dead  who  have  fallen  gloriously 
in  battle,  or  have  died  in  the  defence  of  their 
country  of  wounds  and  sickness,  and  it  is 
the  practice  of  all  branches  of  the  Catholic 
Church,  from  primitive  times,  to  associate 
that  honour  with  prayers  for  the  departed. 

It  was  fitting  and  natural,  therefore,  that 
on  France's  Day  a  Solemn  Mass  of  Requiem 
for  the  Fallen  should  be  sung  at  the  Cathe- 
dral at  Westminster  for  the  French  soldiers 
and  sailors  who  have  fallen  in  the  war,  and 
the  great  congregation  which  filled  the 
Cathedral  to  overflowing  was  proof  that 
this  remembrance  of  their  dead  was  appre- 
ciated by  a  large  number  of  the  relatives 
and  friends  of  these  fallen  heroes. 

The  King,  Queen  Alexandra,  and  the 
Government  were  represented,  and  the 
Lord  Mayor  and  Sheriffs  attended  in  state, 
and  there  were  present  the  French  Ambas- 
sador and  the  full  staff  of  the  Embassy,  as 
well  as  many  of  the  Diplomatic  Corps,  the 
French  Commission,  the  French  Red  Cross, 
Members  of  Parliament  and  the  Consular 
Service,  Ministers  of  the  Allied  Countries, 
representatives  of  British  Overseas 
Dominions,  the  wives  of  French  soldiers, 
and  many  others. 

At  the  foot  of  the  Sanctuary  steps  was 
the  Catafalque  adorned  with  the  Tricolour. 
Around  it  burned  six  tall  candles,  and  by 
each,  erect  and  motionless,  stood  a  Zouave, 
in  his  striking  red  and  blue  uniform,  with 
fixed  bayonet,  and  facing  the  Catafalque 
w^as  an  officer  in  khaki,  with  red,  blue,  and 
gold  laced  cap.  Bishop  Butt,  the  celebrant, 
was  vested  in  black,  but  on  the  High  Altar 
burned  many  candles,  and  colour  was  the 


prevailing  note,  for  the  Cardinal  Arch- 
bishop wore  his  red  robes  and  cappa  magna, 
the  Metropolitan  Chapter  wore  exquisite 
rose-coloured  cappas,  and  the  Cathedral 
clergy  grey  silk. 

The  Zouave  band  played  before  the 
service,  and  then  was  silent  for  the  music 
of  the  Mass,  when  the  plain-song  melodies 
in  the  Mass  of  Anerio,  a  i6th  century 
composer,  were  sung  by  the  choir  under 
the  direction  of  Dr.  Terry  with  beautiful 
effect,  the  men's  and  boys'  voices  alternat- 
ing in  the  Dies  Irce. 

In  the  Offertorium  the  Zouave  Band 
played  a  fragment  from  Gounod's  Jeanne 
d'Arc  Mass,  and  at  the  Elevation  of  the 
Host,  signalized  by  fanfares  of  trumpets, 
the  Zouaves  at  the  Catafalque  presented 
arms,  and  the  officer's  sword  came  to  the 
salute. 

After  the  departure  of  the  Celebrant,  the 
Cardinal,  vested  in  cope  and  mitre,  and  the 
choir,  sang  the  Libera  Me,  and  then  with 
his  procession,  carrying  lighted  torches,  he 
came  down  to  the  Catafalque,  sprinkling 
and  censing  it  and  giving  the  Absolutions. 

Then  came  the  heart-stirring  roll  of  the 
drums,  which  re-echoed  through  the  Cathe- 
dral, the  Last  Post  sounded  by  the  buglers 
of  the  Grenadier  Guards,  and  the  "  Marche 
Heroique,"  rendered  with  consummate 
skill  and  inspiring  beauty  by  the  Zouave 
Band.  After  these  the  "Marseillaise" 
thrilled  the  great  congregation,  and  a  pro- 
foundly impressive  service  concluded  with 
the  National  Anthem. 

In  many  a  quiet  side  chapel  in  our 
churches  to-day  an  increasing  number  of  the 
faithful  avail  themselves  of  the  opportunity, 
and  consolation,  afforded  them  of  praying 
for  their  dear  ones,  quick  and  dead,  in  the 
presence  of  the  Blessed  Sacrament. 

"To  souls  departed  in  the  fear  of  the 
Lord,  grant  refreshment  in  the  land  of 
peace,  Jesus,  God  of  life  and  death." 


40 


Hbe  Brltleb  Journal  of  'Rurstna. 


July  20,   1 918 


A   MINISTRY   OF   HEALTH. 


The  most  pressing  of  all  reconstructive 
problems  is  the  foundation  of  a  Ministry  of 
Health;  and  Major-General  Sir  Bertrand 
Dawson,  G.C.V.O.,  in  an  address  on  "  The 
Future  of  the  Medical  Profession,"  in  his 
Cavendish  Lecture  delivered  recently  before 
the  West  London  Medico-Chirugical  Society, 
emphasised  this  point. 

There  is,  he  said,  "  a  growing  appreciation 
of  the  fact  by  the  medical  profession  and  the 
public  that  much  disease  is  preventible;  a 
growing  sense  that  health  is  of  supreme  im- 
portance alike  to  the  State  and  the  individual ; 
that  the  best  means  for  preserving  health  and 
curing  disease  should  be  available  for  (not 
necessarily  given  to)  every  citizen,  irrespective 
of  his  position,  and  by  right  and  not  by 
favour. 

"  There  is  an  interesting  parallel  between 
provision  for  education  and  health,  both  as 
regards  historical  development  and  present 
needs.  Education  was  at  one  time  patchy, 
unorganized,  and  dependent  on  voluntary 
effort.  In  1870  Parliament  stepped  in,  with 
the  result  that  State  and  voluntary  education 
proceeded  side  by  side.  Since  then  the  State 
Service  has  gradually  overgrown  the  voluntary 
one,  because  it  has  been  recognized  that  educa- 
tion should  be  available  for  all,  that  the  State 
is  responsible  for  the  education  of  its  citizens, 
and  that  the  cost  is  too  great  to  be  supported 
by  fees,  or  by  voluntary  effort  alone.  This  cost 
is  in  part  defrayed  by  an  education  rate  charge- 
able on  householders,  and  Dr.  Gordon  Dill's 
suggestion  that  a  similar  rate  should  be 
charged  for  health  has  a  great  deal  to  recom- 
mend it ;  it  would  be  a  local  contribution  to  the 
cost,  and  would  not  be  altogether  an  additional 
burden,  for  its  application  would  soon  be 
followed  by  a  diminution  in  the  poor  rate. 

"  Health  organization  is  following  a  similar 
development,  though  tardily  and  at  a  distance. 
Yet  in  reality  health  is  a  more  fundamental 
need  than  education,  and  without  doubt  the 
two  together  form  the  foundation  stone  of 
the  State.  Notwithstanding  there  exists  no 
Ministry  of  Health,  and  even  now,  when  it  is 
proposed  to  form  one,  such  a  Ministry  is  to 
be  tied  f>oHtically  to  the  Local  Government 
Board." 

Sir  Bertrand  Dawson  considers  that  medical 
services  must  have  some  kind  of  State  aid  and 
central  control;  that  for  their  efficiency  they 
need  co-ordinated  effort  installed  in  specially 
equipped  institutions,  and  reaches,  by  what  he 


regards  as  the  irresistible  logic  of  facts,   the 
following  conclusions  : — 

1.  State  aid  :  central  control. 

2.  Co-ordinated  effort — team  work. 

3.  Development  of  institutions  specially  designed 
for  diagnosis  and  treatment,  styled  for  brevity 
institutional  treatment. 

To  the  foregoing  he  adds  a  fourth — that 
curative  and  preventive  medicine  are  no  longer 
separated  in  accordance  with  any  sound  prin- 
ciple, and  should  be  brought  together  in 
thought,  teaching,  and  organization. 

The  Administration  of  the  Medical 
Services. 

Conditions  he  regards  as  essential  to  any  plan 
are  that  "all  the  buildings  and  equipments, 
such  as  hospitals,  clinics,  laboratories,  neces- 
sary for  the  medical  services,  will  be  con- 
structed and  maintained  by  the  new  health 
authority.  They  would  be  available  for  all 
citizens,  though  in  practice  they  would  be  only 
partially  used  by  the  well-to-do.   .   .   . 

"All  professional  and  technical  questions 
must  be  determined  alone  by  the  doctors,  and 
administrative  questions  by  a  health  board  com- 
posed of  both  lay  and  professional  members. 
Neither  the  professional  nor  lay  members 
should  be  chosen  from  any  area  smaller  than 

a     county     or     large     borough Though 

granted  adequate  powers,  the  health  boards 
should  be  controlled  as  regards  larger  questions 
of  policy,  by  the  Ministry  of  Health. 

"  By  this  plan  of  choosing  big  areas  for  the 
Health  Board  electorate,  one  would  hope  to 
avoid  the  evils  of  local  politics  and  to  secure  a 
better  type  of  representative.  By  retaining  the 
determination  of  policy,  and  the  confirmation 
of  the  more  important  administrative  acts  at  the 
Health  Ministry,  one  would  secure  control  with- 
out over-centralization,   .   .   . 

"  But  whatever  the  actual  plan,  the  principle 
that  technical  matters  must  be  decided  by 
medical  men  must  be  adhered  to,  and  thus  one 
of  the  errors  of  the  Insurance  Act  put  right. 

"  The  practice  of  putting  the  skilled  under 
the  control  of  the  unskilled  must  cease.   .   .   . 

"  With  so  much  of  the  flower  of  our  manhood 
sacrificed  for  the  great  cause,  the  rearing  of 
a  healthy  race  has  become  a  supreme  necessity. 

"  The  Ministry  will  need  to  draw  to  its 
counsels  representatives  from  all  departments 
of  medicine,  both  preventive  and  curative,  and 
these  counsellors  must  have  real  power,  with 
direct  access  to  the  Minister,  in  Contrast  to  the 
baneful  tradition  at  the  Local  Government 
Board,  whereby  the  medical  officer  can  only 
advise  the  Minister  through  the  intermediary  of 
a  lay  official." 


July  20,   1918 


Zhc  Brttieb  3ournal  of  IRutBtna. 


41 


FOR  DAUNTLESS  FRANCE.* 


France,  dear  to  men  that  honour  human  things, 
To  have  helped  or  heartened  any  of  these  your  maimed 
And  homeless,  is  itself  felicity. 

— From  the  Dedication. 

"  For  Dauntless  France  "  !  The  heart  of  many 
an  EngUsh  nurse  who  has  worked  in  French 
hospitals  throbs  responsive  to  the  words  ;  for  her 
admiration  and  liking  for  the  French  poilu,  so 
brave,  so  gentle,  so  courteous,  so  grateful,  is 
unbounded,  and  she  desires  no  greater  privilege 


a  singularly  happy  one.  Let  us  say  at  once  the 
book  is  one  to  possess,  not,  like  so  many  war 
books,  one  to  be  read  with  enjoyment  and  then 
laid  aside.  Enjoyment  certainly,  may  be  pro- 
mised, but  as  a  history  of  the  work  of  Englishmen 
and  Englishwomen  for  the  dauntless  people  of 
France,  carefully  and  sympathetically  compiled, 
it  merits  an  abiding  place  on  our  bookshelves. 

His  Excellency  the  French  Ambassador,  M.  Paul 
Cambon,  who  contributes  the  preface,  writes  : — 

"  Le  budget  des  ceuvres  auxquelles  Mr.  Laurence 
Binyon  a  si  bien  rendu  justice,  en  dit  long  sur  la 
generosity    britannique.     Mais    il    ne    I'exprime 


"THE     WOUNDED     POILU."      By  JANE  DE  QLEHN  (Mrs.  Wilfrid  de  Qlehn.) 

Reproduced  from  Laurence  Binyon's  New  Book,  FOR  DAUNTLESS 
FRANCE,    by   kind   permission    of  Messrs,    Hodder    &    Stoughton, 


than  to  serve  him  till  peace  once  more  reigns  and 
■happily  he  no  longer  needs  her  skilled  services. 

"  For  Dauntless  France  "  is  the  title  chosen  by 
Mr.  Laurence  Binyon  for  his  book  compiled  for 
the  British  Red  Cross  Societies,  and  the  British 
Committee  of  the  French  Red  Cross,  which  con- 
tains an  account  of  Britain's  aid  to  the  French 
wounded  and  victims  of  the  war,  and  the  title  is 

*  By  Laurence  Binyon.  Hodder  &  Stoughton, 
St.  Paul's  House,  Warwick  Square,  London,  E.C.  4. 
ID?.  6d.  net. 


qu'en  termes  d' argent  et  de  materiel.  Les  pages 
qui  suivent  nous  montrent  I'ceuvre  admirable  des 
hommes  et  des  femmes  venus  de  Grande  Bretagne 
comme  a  une  sainte  croisade,  au  secours  de  leurs 
frdres  de  France.  Les  nurses  anglaises  qui  ont, 
des  le  premier  jour,  offert  le  secours  pr^cieux  de 
leur  experience  au  service  medical  franfais,  les 
ambulances  automobiles  qui,  equipees  en  Angle- 
terre,  montees  et  conduites  par  des  volontaires 
anglais,  ont  suivi  nos  armees  j usque  sur  la  ligne 
de  feu,  par  les  chemins  que  balayait  I'artillerie,  oA 
il  fallait  passer  de  nuii  et  sans  lumi^re  ;  les  groupes 


42 


Zbc  3Briti6b  3cnirnal  of  IRureing. 


July  20,   191 8 


de  Quakers  qui,  sans'^renoncer  a  leur  attitude 
traditionelle  a  regard|de  la  guerre  sont  venu 
r^construire  nos  villages  detruits,  et  soigner  les 
femmes  et  les  enfants  chasses  dc  leur  foyer  par 
I'invasion  ;  les  cantines  creees  sur  les  routes  ou 
s'6coule  le  flot  incessant  des  combattants  et  des 
blesses  ;  la  quantity  des  hopitaux  fondes,  recrut6s, 
entre-tenus  par  nos  amis  de  I'Empire  britannique, 
tout  cela  forme  un  tableau  auquel  I'auteur  a  su 
donner  la  grandeur  qui  lui  appartient.  Nous  ne 
souhaitons  qu'une  chose,  et  elle  est  facile  a  realiser  : 
c'est  que  son  livre  puisse  etre  lu  en  France 
comme  en  Angleterre." 

The  Call  and  the  Answer. 

Part  I  deals  with  the  Call  and  the  Answer,  and 
includes  three  chapters  "  The  Scene  Surveyed," 
"  A  Day's  Work  at  the  Office  of  the  Comite 
Britannique,"  and  "  British  Nurses  in  France  : 
The  French  Flag  Nursing  Corps." 

The  Scene  Surveyed  enables  us  to  look  down  as 
from  an  aerial  vantage-point  upon  the  regions  of 
Western  Europe — upon  a  world  at  war. 

"  That  scarred  line  from  Yser  to  Jura  attracts 
like  a  magnet ;  it  sucks  up  like  a  sponge.  All 
Europe  and  much  more  than  Europe  is  conscious 
of  it.  Not  a  hamlet  by  the  Atlantic  or  the  remote 
Pyrenees — not  a  village  in  the  British  Isles  but  has 
a  vision  of  it ;  and  far  away  in  the  South  Seas  and 
beyond  the  North  Atlantic  it  is  the  same.  To  it 
raen  and  women  are  sending,  sending,  sending. 
They  have  sent  sons  and  brothers,  lovers  and  hus- 
bands. They  have  sent  arms  and  ammunitions. 
They  are  sending  letters  and  little  gifts.  Those 
that  have  nothing  send  their  thoughts  and  their 
fears.  Could  we  use  that  other  vision  of  the  mind, 
we  might  see  those  thoughts,  prayers,  curses, 
apprehensions,  hopes  and  passionate  desires  flying 
in  that  one  direction  like  the  birds  that  fill  the  sky 
at  the  time  of  their  migration.  But  we  should  see 
also,  pressing  thither,  streams  of  embodied 
human  energy — passion  and  calculation  alike 
translated  into  active  force  and  absorbed  into  the 
momentum  of  a  single  will." 

Writing  of  the  British  workers  for  the  French 
soldier  Mr.  Binyon  says  that  when  they  have 
returned  to  their  homes  in  Britain  "  they  will 
testify  to  what  they  have  seen  and  known. 

"  They  will  have  learnt  that  Paris  is  not  France, 
and  that  the  tourist  of  other  days  but  rarely  came 
into  touch  with  the  true  French  nature,  with 
France  herself.  They  will  grow  to  understand  how 
fine  is  the  texture  of  human  qualities  and  human 
resources  which  underlie  French  history,  French 
art  and  civilisation,  and  which  have  made  the 
French  so  great  and  renowned  a  people." 

Of  the  British  nurses  in  French  hospitals  Mr. 
Binyon  writes  : — 

"  Who,  that  has  seen  them  at  work,  has  not 
admired  their  skill,  their  resource,  their  patient 
deftness  ?  They  have  behind  them  a  hard  and 
splendid  training,  which  ensures  that  only  enthu- 
siasts for  the  vocation  become  fully-qualified 
nurses.  Very  few  had  experience  of  war  and  the 
wounds  a  modern  war  produces ;  therefore  their 


interests  were  all  the  more  engaged.  But  it  is  not 
only  their  own  work  that  has  been  invaluable,  it 
is  the  training  they  have  given  to  others  less 
skilled.  For  under  the  nurses  or  sisters  work  the 
V.A.D.  probationers. 

"  The  V.A.D. s,"  says  a  surgeon,  "  are  un- 
doubtedly the  surprise.  They  are  splendid,  and  as 
probationers  vmder  trained  nurses  in  a  ward, 
nothing  that  I  can  say  is  good  enough  for  them." 

(We  wish  the  V.A.D.'s  were  always,  or  cora- 
monly,  content  with  the  position  of  probationers.) 
At  the  Office  of  the  ComitA  Britai^ique. 

The  day's  work  at  the  Office  of, the  Comity 
Britannique,  at  No.  9,  Knights  bridge,  S.  W.,  begins 
"  when,  at  a  punctual  nine  o'clock  in  the  morning, 
the  purple-scarfed  Boy  Scout,  who  with  so  polite 
a  firmness  guards  the  door,  lets  in  the  arriving 
Director-General."  From  that  time  onwards  its 
manifold  activities  are  ceaseless. 

"  Seating  ourselves  beside  the  Director-General, 
and  looking  unabashed  over  his  shoulder,  we  get  a 
glimpse  of  his  morning's  correspondence.  It  is 
comprehensive  and  formidable." 

But  first  there  are  some  fifty  "  Ordres  de 
Mission  "to  be  signed,  those  valuable  vouchers 
which,  by  a  special  concession  to  the  Comite, 
enable  its  workers  to  travel  free  in  France. 

One  touch  will  amuse  trained  nurses. 

"  Two  drivers  Avrite  to  ask  about  their  passports, 
their  fiches  and  their  carnets.  The  fiche  is  a  paper 
of  identification;  but  I  dare  not  try  to  explain 
what  the  carnet  is  ;  it  is  just  a  little  Jjook  that  gives 
a  great  deal  of  trouble." 

We  cannot  even  peep  into  the  many  rooms, 
all  hives  of  industry,  in  this  busy  building,  but 
mention  must  be  made  of  the  room  on  the  ground 
where  the  President,  the  Vicomtesse  de  la  Panouse, 
reigns,  who,  Mr.  Binyon  explains,  "  holds  all 
the  threads  of  the  Comite  s  activities.  No  one 
is  so  intimate  with  the  condition  of  things  in 
France  ;  no  one  knows  better  the  real  needs  of  the 
sick  and  wounded  ;  and  with  her  large  sympathy 
with  the  Enghsh  people,  her  knowledge  of  the  right 
persons  to  do  the  right  things  on  both  sides  of 
the  Channel,  she  has  done,  and  continues  to  do, 
inestimable  service  to  the  cause  of  the  friendship 
between  the  two  nations." 

The  French  Flag  Nursing  Corps. 

We  congratulate  the  Sisters  of  the  French  Flag 
Nursing  Corps  on  being  accorded -the  position  of 
honour  in  the  book,  the  first  chapter  after  that 
on  the  office  in  London  being  devoted  to  their 
work ;  for  although  the  need  of  skilled  nursing  to 
mitigate  the  sufferings  of  the  French  wounded 
was  obvious  in  the  early  days  of  the  war,  the 
assistance  offered  by  this  Corps  was  discounten- 
anced and  discouraged  by  the  War  Office  and  the 
British  Red  Cross  Society,  and  it  was  not  until 
the  Director-General  and  the  president  of  the 
Comite  de  Londres,  now  the  Comite  Britannique 
of  the  French  Croix  Rouge,  recognising  the  value 
of  the  fine  work  of  the  Corps  in  the  French  Mil  tary 
Hospitals,  affiliated  it  as  a  department  of  its 
own  work,  that  the  Corps  received  the  appreciation 


July  20,   1 9 18 


^be  ©ritieb  3ournaI  of  IRursina* 


43 


and  sympathy  which  was  its  due,  and  its  services 
were  offered  as  a  gift  to  our  French  Allies. 

Mr.     Binyon     writes  : — 

"  There  was  unlimited  devotion,  immense 
eagerness  to  serve,  but  of  trained  and  expert  help 
there  was  an  inevitable  deficiency.  The  ladies  of 
Paris  staffed  the  Red  Cross  Hospitals,  and  did  all 
they  could.  It  was  the  same  in  other  towns. 
Some  of  the  most  devoted  nursing  work  in  those 
days  was  done,  let  it  be  recorded,  Dy  women  of  the 
streets.  But  the  crying  need  was  for  skill,  training, 
experience.  And  it  is  told  that  a-Frenchwoman 
who  knew  what  nursing  requirements  really  were, 
and  who  had  seen  a  well-appointed  English 
ambulance  train,  sat  and  wept  because  so  many 
of  her  dear  countrymen  lacked  the  comforts  and 
the  help  they  so  sorely  needed." 

It  was  then  that  an  Englishwoman  went  to  t  he 
head  of  the  French  Army  Medical  Corps,  and 
proposed  to  raise  the  Corps  of  fully-trained 
;^ritish  nurses,  known  as  the  French  Flag  Nursing 
Corps,  an  offer  which  was  eagerly  accepted. 

"  It  was  an  opportunity  for  testing  the  value  of 
skilled  nursing  in  war  time  ;  and  the  testimony  of 
the  French  doctors  and  surgeons  under  whom 
they  have  worked,  shows  what  precious  metal 
the  test  revealed." 

A  high  official  wrote ;  "  The  nurses  of  the 
French  Flag  Nursing  Corps  are  considered  by  the 
doctors  of  our  armies  as  assistants  of  the  first 
class,  and  their  presence  in  France,  in  a  number 
the  insufficiency  of  which  we  regret,  is  one  of  the 
most  touching  evidences  of  the  sympathy  of  the 
English  nation  towards  our  country." 
[To  be  concluded.) 


THE    ROYAL    RED    CROSS. 

The  King  conferred  the  Decorations  recorded 
below  on  the  following  ladies  on  July  loth,  at 
Buckingham  Palace  : — - 

Bar  to  the  Royal  Red  Cross, 

Queen  Alexandra's  Imperial  Military  Nursing  Service. 
• — Matron-in-Chief  Caroline  Keer  (retired),  and  Matron 
Edith  Nixon. 

The  Royal  Red  Cross. 
First  Class. 

Queen  .Alexandra's  Imperial  Military  Nursing  Service. 
— Acting  Matron  Bertha  Perkins. 
Second  Class. 

Queen  Alexandra's  Royal  Naval  Nursing  .Service. — 
Sister  Isabella  Long. 

Queen  Alexandra's  Imperial  Military  Nursing  Service 
Reserve. — Assistant  Matron  Nellie  Merriott,  Sister 
Sara  Barrowcliff,  Sister  Harriett  Perfrement,  Sister 
Elizabeth  Russell,  Sister  Lizzie  Varley,  Sister  Lillie 
Wright,  Sister  Lilian  Wynn,  and  Staff  Nurse  Grace 
Mannell. 

Civil  Nursing  Service. — Matron  Alice  Bayne,  Matron 
Edith  Blayney,  Matron  Elizabeth  Boath,  Matron 
Florence  Borton,  Matron  Adeline  Cable,  Matron 
Caroline  Catteix,  Matron  Emily  Carpenter-Turner, 
Lady  Superintendent  Lucy  Binns,  Assistant  Matron 
Sophia  Smith-Bevan,  Assistant  Matron  Kathleen  Comyn, 
Sister  Florence  Bingley,  Sister  Margaret  Birt,  Sister 
Gertrude  Bltler,  Sister  Cargill  Cameron,  Sister 
Elizabeth  Coath,  and  Sister  Sophie  Fry. 


British  Red  Cross  Society. — Matron  Alice  Bottomley, 
Matron  Frances  Brown,  Matron  Maria  Buxton,  Assist- 
ant Matron  Clara  Henderson,  Assistant  Matron  Lois 
Maksden,  and  Sister  Eliza  Workman. 

Voluntary  Aid  Detachment. — Mrs.  Agnes  Bayfield, 
Miss  Mary  Bell,  Mrs.  Gladys  Bei.lville,  the  Hon.  Mrs. 
Margaret  Birkin,  Mrs.  Katherine  Blatch,  Miss  Maud 
Blenkarn,  Miss  Ada  Boss,  Miss  Freda  Bowring.'Mts. 
Margaret  Bramley,  Miss  Edie  Brown,  Miss  Cicely 
Burbidge,  Miss  Ellen  Carrier,  Miss  Anna  Carter,  Mrs. 
Caroline  Clayton,  and  Miss  Claudia  Clowes. 

Q.ieen  Ahxandra  received  at  Marlborough 
House  the  members  of  the  military  and  civil 
Nursing  Services  after  the  investiture. 


The  King  has  been  pleased  to  award  the  Royal 
Red  Cross  to  the  undermentioned  ladies,  in 
recognition  of  their  valuable  Nursing  Services  in 
connection  vnih  the  war  : — 

Second  Class. 

Eager,  Miss  F.  E.,  Sister,  Queen  Mary's  Hospl.  for 
the  East  End,  Stratford;  Edgar,  Miss  A.,  Sister, 
T.F.N.S.,  4th  Sco.  Gen.  Hospl.  ;  Edwards,  Miss  E.  A., 
Supt.  of  Nurses,  Toxteth  Park  Mil.  Hospl.,  Liverpool; 
Edwards,  Mrs.  H.,  Matron,  Boothroyde  and  Longroyde 
Hospls.,  Brighouse,  Yorks ;  Elliott,  Miss  A.,  Sister, 
T.F.N. S.,  3rd  Northern  Gen.  Hospl.,  Sheffield;  Ell- 
wood,  Miss  P.  H.,  Sister,  Red  Cross  Hospl.,  Horncastle, 
Lines;  Elms,  Miss  J.,  Matron,  Sussex  Eye  Hospl., 
Brighton;  Epps,  Miss  E.  M.  T.,  Lady  Supt.,  Rauceby 
Hall,  near  Grantham,  S.  Lines;  Evans,  Miss  B.,  Supt. 
Nurse,  Jericho  Mil.  Hospl.,  Bury,  Lanes;  Evans,  Miss 
C,  Sister,  Aux.  Mil    Hospl.,  Tranmere,  Birkenhead. 

Fanning,  Miss  R.  G.,  Sister,'  Matron's  Asst., 
N.Z.A.N.S.,  No.  I  N.Z.  Gen.  Hospl.,  Brockenhurst, 
Hants;  Farmer,  Miss  A.,  Sister,  Cyngfeld,  Shrewsbury; 
Fakmer,  Miss  M.,  Sister,  Q  A^.LM.N.S.R.,  R.  Victoria 
Hospl.,  Netley ;  Fearon,  Miss  M.  L,  Nursing  Sister, 
Can.  Nursing  Service,  No.  11  Can.  Gen.  Hospl.,  Moore 
Barracks,  Shorncliffe ;  Fitzgerald,  Miss  N.  A.  L.,  Staff 
Nurse,  War  Hospl.,  Bradford  ;  Fricker,  Miss  M.,  Sister, 
N. Z.A.N. S.,  No.  2  N.Z.  Gen.  Hospl.,  Walton-on- 
Thames;  Fry,  Miss  S.  C,  Sister,  R  Sussex  County 
Hospl.,  Brighton  ;  Ferguson,  Mrs.  C.  F.,  Commdt., 
Bredbury  V.A.D.  Hospl.,  Tunbridge  Wells. 

Galbraith,  Miss  L.  E.,  Nursing  Sister,  Can.  Nursing 
Service,  No.  4  Can.  Gen.  Hospl.,  Basingstoke,  Hants; 
Gale,  Miss  E.  G.,  Matron,  Hospl.  for  Sick  and 
Wounded,  Boscombe,  Hants;  Galloway,  Miss  J.,  Sister, 
Q.A.LM.N.S.R..  Queen  Alexandra  Mil.  Hospl., 
Grcsvenor  Road,  S.W.  i  ;  Galt,  Miss  C,  Nursing  Sister, 
Can.  Nursing  Service,  No.  15  Can.  Gen.  Hospl.,  Taplow, 
Bucks;  Gardiner,  Miss  M-.  Senior  Sister  i/c,  St.  John 
Ambulance,  Radcliffe ;  Gay,  Miss  F.  E.,  Sister, 
T.F.N. S.,  4th  Lond.  Gen.  Hospl.,  Denmark  Hill; 
Gibbon,  Miss  L.  C,  Matron,  R.  Infirmary,  Blackburn; 
Gibson,  Mrs.  L.  M.,  Matron,  Gatcombe  House,  Isle  of 
Wight;  GoosEMAN,  Miss  F.,  Asst.  Matron,  T.F.N. S., 
2nd  Western  Gen.  Hospl.,  Ducie  Avenue,  Manchester; 
Gordon,  Miss  J.  W.,  Sister,  R.  Infirmary,  Manchester; 
Gould,  Miss  I.  M.  H.,  Sister,  Pembroke  Aux.  Mil. 
Hospl.,  Lytham ;  Gowan,  Miss  F.  W..  Sister,  Mil. 
Orthopaedic  Hospl.,  Shepherd's  Bush,  W.  ;  Graham,  Mrs. 
E  S.  (Mrs.  W.  V.  Graham),  Matron,  Hdqrs.,  B.R.C.S.  ; 
Graham-Smith,  Miss  M.  M.,  Staff  Nurse,  Regent's  Park 
Hospl.,  Southampton  ;  Green,  Miss  L.  M.,  Sister,  Union 
Infirmary,  Darlington;  Green,  Miss  L.  E. ,  Matron, 
Ilford  Emergency  Hospl.,  Ilford ;  Griffiths,  Mrs.  L., 
Staff  Sister,  Aux.  Mil.  Hospl.,  Quarry  Place,  Shrews- 
bury. (To  be  continued.) 


44  Zbc  British  3ournal  of  IRursinQ.  My  20,  1918 

OUR   ROLL  OF  HONOUR.  NURSING    AND    THE    WAR. 


Miss  Isobel  M.  Mackintosh,  A.R.R.C.,  Sister, 
Bermondsey  Military  Hospital. 

We  regret  to  have  to  record  the  death,  at  the 
early  age  of  31,  of  Sister  Isobel  Mackintosh,  who 
died  at  her  post  on  July  loth. 

Miss  Mackintosh,  who  was  a  daughter  of  Mr.  A. 
R.  Mackintosh,  of  Glenlyon  Lodge,  Nairn ,  and 
Kincorth,  Forres,  received  her  four  years'  training 
at  the  Prince  of  Wales's  General  Hospital,  London, 
and  almost  immediately  after  war  broke  out  she 
volunteered  for  active  service  at  the  Front.  From 
1914  to  1916  she  served  in  British  hospitals  at 
Wimereux,  Calais,  and  L-e  Touquet,  and  was 
recently  awarded  the 
Mons  Ribbon. 

In  1917  she  was  ap- 
pointed Sister-in-Charge 
of  one  of  the  medical 
blocks  at  Bermondsey 
Military  Hospital,  Lady- 
well,  .  where  her  death 
from  acute  influenzal 
pneumonia  took  place. 
She  had  had  a  number  of 
soldiers  Avith  influenza 
under  her  charge,  whom 
She  had  nursed  with  great 
devotion. 

Sister  Mackintosh 
(Sister  "Mac"  as  she 
was  affectionately  called) 
was  a  great  favourite 
with  staff  and  patients 
alike, 'and  acted  as  Night 
Superintendent  at  Lady- 
well  before  being  appoin- 
ted Sister-in-Charge.  She 
was  recently  awarded  the 
Royal  Red  Cross  {2nd 
Class)  for  her  valiiable 
services  during  the  war. 

The  large  attendance 
at  her  funeral  indicated 
how  deeply  she  was 
mourned.  The  medical 
and  nursing  staff  with  the  invalid  soldiers 
filled  the  hospital  chapel,  while  men  from 
her  own  wards  carried  the  cofl&n,  which  was 
draped  with  the  Union  Jack  and  covered 
with  floweis.  One  beautiful  ^vTeath  was  labelled 
"  from  the  '  Boys  '  of  D  Section,  in  grateful  and 
loving  memory." 


MI5S  ISOBEL  M.  MACKINTOSH,  A.R.R.C 


The  Training  of  V.A.D.  Members  as  Nurses. 
Mr.  W.  H.  Bonham-Carter,  Secretary,  Nightingale 
Training  School,  informs  us  in  the  following  letter 
of  the  terms  on  which  V.A.D.  members  will  be 
received  for  training  at  St.  Thomas'  Hospital  : — 

Dear  Madam, — The  conditions  under  which 
V.A.D.  Nursing  Members  ard  Special  Military 
Probationers,  who  have  served  in  military  nos- 
pitals  for  a  consecutive  period  of  not  less  than  two 
years,  who  are  considered  suitable,  and  who  desire 
to  become  trained  nurses  with  a  view  to  subse- 
quently entering  Queen  Alexendra's  Imperial  Mili- 
tary Nursing  Service,  have  now  been  defined.  Three 
years'  training  in  a  civil 
hospital  training  school 
being  a  necessary  con- 
dition, it  has  been  decided 
by  the  Committee  of 
the  Nightingale  Training 
School  at  St.  Thomas' 
Hospital  to  admit  such 
cardidates  under  the 
conditions  now  applying 
to  special  probationers 
but  without  payment  of 
the  usual  fees,  and  they 
will  therefore,  after  pa'^s- 
ing  the  short  preliminary 
training  in  the  Prelimin- 
ary School,  and  subject 
to  their  quaUfying  in  the 
usual  examinations,  re- 
ceive their  certificate  on 
the  completion  of  three 
years'  work  in  the  wards. 
I,  therefore,  crave  Ihe 
courtesy  of  your  columns 
to  maice  this  decision 
public. 

lam,  dear  Madam, 
Yours  faithfully, 
W.  H.  BoNHAM  Carter, 
Secretary,  Nightingale 

Trainim;  School. 


I  take  my  heart  in  my  hand,  I  shall  not  die 
but  live. 
Before  Thy  face  I  stand,  I  for  Tnou  caUest 
such. 
All  that  I  have  I  bring,  all  that  I  am  I  give ; 
Smile  Thou,  and  I  shall  sing,  but  shall 
not  question  much. 

C.  Rossetti. 


It  is  an  open  secret  that  it  was  the  influence 
brought  to  bear  through  the  British  Red  Cross 
Society,' Supported  by  the  Matrons  on  the  Army 
Nursing  Boards,  and  the  College  of  Nursing  Council, 
which  has  induced  the  Army  Council  to  issue 
Instruction  678,  styling  V.A.D.  nursing  members 
and  special  military  probationers,  when  they 
enter  a  general  hospital  for  training,  "  Pi-obationers 
for  Queen  Alexandra's  Imperial  Military  Nursing 
Service-"  and  giving  them  priority  of  promotion 
to  the  Service  when  trained. 

This  Instruction  will,  in  practice,  make  it  impos- 
sible for  civil  probationers,  even  with  four  years' 
certificates,  to  enter  this  Imperial  Nursing  Service 
for  years  to  come,  as  a  rota  of  V.A.D.s  after  three 
years'  general  training  will  be  kept,  and  if  no 
vacancy  exists  for  them  they  are  promised  future 


July  20,   1 91 8 


Hbe  aBrttieh  3ournal  of  fluretna. 


45 


vacancies  as  they  occur ;  so  that  practically 
Queen  Alexa,ndra's  Imperial  Military  Nursing 
Service  is  no  longer  open  to  the  whole  nursing 
profession,  as  all  Government  Nursing  Services 
should  be. 

Imagine  the  Army  Council  enforcing  an  Instruc- 
tion that  no  medical  practitioner  should  be 
permitted  to  enter  the  Royal  Army  Medical  Corps 
unless  he  had  worked  under  the  Red  Cross  Society 
or  the  Order  of  St.  John  during  the  war  !  Such  a 
Suggestion  for  men  would  not  be  tolerated  for  an 
hour. 

We  presume  trained  nurses  on  the  Reserves 
who  have  joined  the  College  of  Nursing,  Ltd., 
realise  that  its  promoters  have  helped  to  deprive 
them  of  military  promotion  in  three  years'  time 
and  used  their  influence  to  have  them  superseded 
by  V.A.D.s.  

The  Royal  Victorian  Trained  Nurses'  Associa- 
tion of  Australia  has  refused  to  consider  service  in 
a  military  hospital  as  supplementary  to  training 
schools  under  any  circumstances. 


CARE    OF    THE    WOUNDED. 


Brisoues. 

It  is  well  to  let  it  be  known  that  nurses  have  no 
right  to  wear  the  French  Military  Seivice  Brisque 
(gold  braid)  worn  by  soldiers. 

In  the  case  of  Nurses  working  in  the  French 
Military  or  Bene  vole  Hospitals  there  is  the 
"  Ensigne  de  Service  "  for  which  their  Med.  Chef 
cites  them.  This  consists  of  two  small  palm  leaves 
with  a  tiny  red  cross  in  the  centre.  The  leaves  are 
Bronze  for  one  year's  service,  Silver  for  two  years' 
service,  and  Gold  for  three  years.  With  the 
"  Ensigne  '/  is  given  a  short  citation  indicating  the 
length  of  service. 

In  the  case  of  Canteen  Workers,  whose  service  is 
as  a  rule  rather,  disconnected,  long  vacations  being 
taken  between  each  period  of  service,  there  does 
not  appear  to  be  any  distinguishing  Service  Badge. 


It  is  interesting  to  note  that  H.M.  the  King  of 
the  Belgians  has  conferred  upon  Miss  Edith  Mawe, 
of  Lee  Hurst,  Weston-super-Mare,  the  Medaille 
de  la  Reine  Elisabeth.  It  will  be  recalled  that 
during  the  dark  days  of  1914  and  the  early  part  of 
1915  a  great  many  wounded  Belgian  soldiers  were 
sent  to  this  countiy  to  be  cared  for.  At  this  time 
Miss  Mawe  was  Honorary  Lady  Superintendent 
of  the  Royal  West  of  England  Sanatorium, 
Weston-super-Mare,  and  800  of  the  Belgians  came 
under  her  care.  It  is  in  recognition  of  the  care 
bestowed  upon  these  men  that  the  medal  has  been 
conferred.  . 

The  same  honour  has  been  conferred  upon  Mrs. 
Bernard  Allen,  hon.  organizer  of  the  Belgian 
Hospital  Fund,  in  recognition  of  the  work  which 
she  has  done  since  January,  1915,  in  aiding  the 
military  and  ci\nl  hospitals  and  institutions  in 
France  and  Belgium ;  and  on  Mrs.  Rowland  Fisher 
in  recognition  of  her  work  in  establishing  and 
conducting  the  Belgian  Children's  Home  at  Alde- 
burgh,  Suffolk. 


A    ROYAL    GIFT. 

Since  our  last  issue,  the  King  and  Queen  of  the 
Belgians  have  flown  over  from  France  and  back 
again,  just  to  be  with  our  King  and  Queen  on  their 
Silver  Wedding  Day.  King  Albert  has  about 
him  so  much  of  the  glorious  tradition  of  a  fairy 
King  that  he  should  come  and  go  on  wings  is  all 
in  the  picture  ! 

The  Queen  of  the  Belgians,  before  leaving  Lon- 
don handed  to  Queen  Mary  ;^500,  with  the  request 
that  she  would  distribute  it  among  any  charities^ 
in  which  she  was  specially  interested. 

The  Queen  has  decided  to  allot  the  money  thtis  : 
— ;^ioo  each  to  the  War  Refugees  Committee  for 
the  Relief  of  Belgians  in  England,  Queen  Mary's 
Convalescent  Auxiliary  Hospital  for  Widows  of 
Soldiers  and  Sailors  at  Roehampton,  Queen  Mary's 
Hospital  at  Frognal,  Queen  Mary's  Royal  Naval 
Hospital  at  Southend,  and  Queen  Mary's  Hostels 
for  Nurses. 


Dr.  Mary  M'Neill,  of  the  Scottish  Women's 
Hospital  at  Saloiuca,  has  had  conferred  upon 
her  the  Order  of  St.  Sava  by  the  King  and  the 
Crown  Prince  of  Serbia  for  services  rendered  to 
sick  and  wounded  soldieis. 


The  following  British  women  motor  ambulance 
drivers  working  under  the  Red  Cross  in  France 
ha.ve  been  mentioned  in  French  Army, Orders,  and 
awarded  the  Croix  de  Guerre  for  bravery  during 
an  air  attack  : 

Miss  M.  Thompson,  First  Aid  Nursing  Yeo- 
manry, O.C,  M.A.C. 

Miss  M.  Lowson,  First  Aid  Nursing  Yeomanry, 
Sergt.,  M.A.C. 

Miss  M.  Mordaunt,  First  Aid  Nursing  Yeomanry, 
Sergt.,  M.A.C. 

The  brigade  order  citing  them  states  that  on 
May  1 8th,  during  a  bombardment  by  aeroplanes 
which  lasted  over  five  hours,  they  went  at  once 
to  the  point  of  danger,  and  picked  up  the  dead 
and  wounded  to  transport  them  to  hospitals. 
"  They  showed  absolute  disregard  of  danger,  and 
at  the  same  time  gave  to  all  the  finest  example  of 
courage  and  sang  Jroid." 


The  largest  American  military  hospital  in 
Great  Britain,  to  be  estabUshed  near  Southampton, 
will  accommodate  nearly  3,000  wounded.  The 
site  is  a  country  estate  of  186  acres,  formerly 
known  as  Sarisbury  Court.  The  central  building 
of  the  hospital  vnll  be  the  old  Manor  House, 
round  which  the  American  Red  Cross  is  building 
nearly  10  acres  of  frame  hutments.  There  will 
be  separate  buildings  for  the  medical  and  nursing 
staffs,  the  other  employees,  the  kitchens,  and  the 
operating  rooms,  and  a  large  isolation  hospital. 

Everything  is  planned  in  the  most  wonderful 
way. 


46 


Zbc  Brtti0b  3ournal  of  IRursing. 


July  20,   1 9 18 


The  10  acres  of  vegetable  gardens  will  be 
intensively  cultivated.  The  hospital  will  produce 
a  considerable  part  of  its  dairy  requirements,  its 
bacon,  and  its  eggs  and  poultry. 
:' i  Ambulances  will  bring  the  Anaerican  wounded 
from  the  piers  at  Southampton.  The  convalescent 
soldier  \vill  find  several  miles  of  sunny  or  shaded 
walks  without  going  outside  the  hospital  grounds. 

Captain  F.  Harper  Sibley,  of  the  Red  Cross, 
formerly  President  of  the  Chamber  of  Commerce 
of  Rochester,  N.Y.,  who  has  been  in  charge  of 
the  American  Red  Cross  work  at  Southampton 
since  April,  is  supervising  the  construction  of  the 
hospital. 

Part  of  the  beds  will  at  first  be  placed  in  tents 
of  the  Bossoneau  type,  with  windows  set  in  the 
walls  to  make  them  light  and  airy  and  a  double 
roof  with  air-chamber  between  to  insulate  them 
from  the  heat  of  the  sun.  Seme  of  the  tents  may 
be  retained  for  convalescents  or  reserved  for 
emergencies. 

JOINT   WAR    COMMITTEE. 


THE  COLLEGE    OF    NURSING,   LTD., 
AND  AMERICAN  NURSES. 


The  following  Sisters  have  been  deputed  for  duty 
in  Home  Hospitals  : — 

Red  Cross  Hosp.,  Chippenham.— M.iss  C.  L.  Still. 

Barham  Lodge,   Weybridge.- — Miss  E.  Redmile. 

Dunraven  Castle  Red  Cross  Hosp.,  Bridgend. — 
Miss  P.  Palmer. 

Hanover  Park  V.A.  Hosp.,  Peckham. — Miss  A.  H. 
Murray. 

Weir  Hosp.,  Balham. — Miss  C.  A.  H.  Rhodes. 

Kingwood  Park  Hosp.,  Tunbridge  Wells.- — ^M'iss 
C.  C.  Krelle. 

V.A.  Hosp.,  Burnham- on- Crouch. — Miss  M. 
Johnston. 

Hosp.  for  Officers,  16,  Bruton  Street,  W. — ^M'iss 
E.  A.  Nurse. 

Park  House  Aux.  Hasp.,  Newbury. — ^Miss  E. 
Gribben. 

Brackenhurst  Hall  Aux.  Mil.  Hosp.,  Southwell. — 
Miss  L.  Poole. 

Hosp.  for  Facial  Injuries,  24,  Norfolk  Street. — 
Miss  M.  C.  Thompson. 

6,  Kensington  Terrace,  Newcastle- on- Tyne. — Miss 
E.  G.  EUiott. 

Beach  Red  Cross  Hosp.,  Holyhead. — Mi^  H.  A.  G. 
Hawley. 

Victoria  Aux.  Hosp.,  Stretfold,  Lanes. — ^Miss  E. 
Rycroft. 

V.A.  Hosp.,  Northwood,  Middlesex. — ^Miss  M.  B. 
May. 

Kempston  Red  Cross  Hosp.,  Bedford. — Miss  K. 
Aitken. 

Officers'  Red  Cross  Hosp.,  Worsley,  Lanes.- — Mrs. 
E.  L.  Lamb. 

De  Walden  Court,  Eastbourne. — Miss  M.  P.  Peter. 

Newnham  Paddox  Hosp.,  Lutterworth. — Mrs. 
M.  E.  C.  Swann. 

Kempston  Red  Cross  Hosp.,  Eastbourne. — Miss 
V.  Kendal. 

Auxiliary  Hasp.,  Bitterne,  Southampton. — Miss 
M.  G.  Welch. 


A    REPLY    TO    MISS    LLOYD    5TILL 
AND   MISS   AMY    HUGHES. 

The  following  article  appears  in  the  July 
number  of  the  American  Journal  of  Nursing  in 
the  Foreign  Department,  which  is  in  charge  of 
Miss  L.  L.  Dock,  the  Hon.  Secretary  of  the 
International  Council  of  Nurses. 

A  PERIL  TO  INDEPENDENCE  AND  SELF- 
GOVERNMENT. 

The  peril  to  the  independence  and  profes- 
sional self-government  of  English  nurses 
through  the  College.of  Nursing,  Ltd.,  of  which 
we  have  often  spoken  in  these  columns,  is 
growing  daily  more  imminent,  and  it  now 
concerns  American  nurses  more  closely  to 
understand  this  peril,  since  a  very  definite 
attempt  is  now  being  made  to  enlist  them  in 
support  of  the  College.  The  letter  in  its  behalf, 
which  appeared  last  month  in  the  Journal,  and 
the  suggestions  of  re-enforcement  of  its  struc- 
ture in  the  invitation  to  individual  Americans 
to  accept  associate  membership  in  the  College, 
are  indications  of  this  approach,  and  we  think 
it  is  highly  important  that  American  nurses 
who  may  be  asked  to  align  themselves  in  any 
way  with  the  College  should  understand  that 
if  they  do  so  they  will,  in  effect,  no  matter  how 
well-meaning  and  friendly  their  intentions,  be 
helping  to  strangle  their  British  Sisters'  long, 
hard  efforts  to  obtain  that  professional  freedom 
which  we  Americans  have  been  fortunate 
enough  to  obtain  for  ourselves.  No  American 
nurse  would  knowingly  do  a  thing  of  this  kind. 
Let  us  urge  them,  earnestly,  not  to  do  it  un- 
knowingly. Let  it  be  remembered  that,  in  the 
first  place,  the  alumnae  association  is  by  no 
means  the  accepted  starting  point  of  English 
nursing  organization,  as  in  this  country.  This 
grouping  of  graduates  by  their  schools,  which 
we  consider  so  necessary  as  the  first  step  in 
self-government,  has  never  been  liked  by  the 
conservative  hospital  managers  of  England 
and  their  matrons,  and  only  those  nursing 
schools  that  came  under  the  influence  of  Mrs. 
Fenwick,  the  late  Miss  Isla  Stewart,  and  their 
group  of  progressives  in  the  Matrons'  Council, 
developed  the  alumnae  association  under  the 
name  of  "  Nurses'  League." 

The  historic  school  at  St.  Thomas',  of  which 
Miss  Still  is  matron  (Miss  Still  is  one  of  the 
signers  of  the  letter  to  the  Editor  in  June),  has 
no  alumnae  association,  and  would  regard  the 
idea  with  the  utmost  disapproval.  Still  le'ss  do 
such  conservative  matrons  tolerate  the  idea  of 


July  20,  1 918 


(The  British  3ournal  of  IRureing. 


47 


their  nurses  (they  do  not  willingly  admit  that 
they  are  ever  "  graduates  "  or  free  from  school 
control,  but  like  to  keep  this  control  over  them 
for  life)  joining  general  societies,  such  as  the 
county,  city,  or  State  groups,  which  Americans, 
in  their  precious  freedom,  have  been  able  to 
build  up,  and  which  we  know  to  be  so  all- 
important  in  breaking  down  lines  of  narrow 
separation  and  bringing  all  together  in  one 
circle,  in  enabling  nurses  to  compare  their 
views  and  to  unite  their  strength  for  true 
standards  and  principles. 

How  far  should  we  have  progressed  in  State 
Registration  had  we  not  had  our  self-governed 
county  and  State  societies? 

When  such  matrons,  then,  talk  of  demo- 
cratic management  and  control,  it  simply  means 
that  they  do  not  understand  the  essence  of  such 
control,  since  their  own  nurses  have  never  been 
permitted  to  learn  it.  They  have  taken  up  the 
popular  catchwords  of  the  day,  no  doubt  in 
good  faith,  but  do  not  know  their  actual 
implications. 

The  structure  of  the  College  of  Nursing, 
Ltd.,  is  essentially  autocratic.  The  letter  itself, 
signed  by  Miss  Still  and  Miss  Amy  Hughes, 
shows  this,  as  it  is  perfectly  clear  therein  that 
this  College  Company  is  a  close  corporation. 


"THE  LANCET"  AND  THE  SOCIETY 
FOR  THE  STATE  REGISTRATION  OF 
TRAINED  NURSES. 


The  Leaflet  issued  by  the  Trained  Nurses' 
Protection  Committee,  exposing  the  autocratic 
Constitution  of  the  College  of  Nursing,  Ltd., 
is  republished  in  the  American  Journal  of 
Nursing  in  support  of  Miss  Dock's  criticism. 


We  have  once  again  to  thank  Miss  Dock  for 
her  clear-sighted  and  courageous  advocacy. 
Many  years  ago  Miss  Dock  toot  the  trouble  to 
tour  Europe,  and  to  enquire  into  Nursing  con- 
ditions in  nearly  even.'  country.  Her  opinions 
are  not  formed  on  accounts,  "  biassed  "  or 
otherwise,  which  appear  in  the  press.  She  has 
studied  "  English  Nursing  Politics "  on  the 
spot,  and  is  fully  conversant  with  the 
antagonism  with  which  hospital  authorities  and 
their  discreditable  "  press  "  have  treated  the 
State  Registration  question  as  advanced  by 
what  she  terms  the  "  intelligentsia,"^ — that  is, 
by  the  women  who  years  ago  had  the  brains  to 
evolve  a  well-defined  policy  of  reform. 


AN      HfSTORICAL    SURVEY. 

Mrs.  Bedford  FeuAvick  has  consented  to 
repeat  her  address  to  the  National  Party,  "  An 
Historical  Survey  of  the  Registration  Move- 
ment," as  the  younger  generation  of  nurses 
have  had  little  opportunity  of  instruction  on  the 
question. 


In  its  issue  of  July  6th,  The  Lancet  published, 
in  an  article  on  "  Registration  of  Nurses," 
comments  on  the  conduct  of  business  at  the 
Annual  Business  Meeting  of  the  Society  for  the 
State  Registration  of  Trained  Nurses,  based  on 
misapprehension,  which  reflected  adversely  ou 
the  policy  of  the  Society. 

Having  pointed  out  that  Major  Chappie,  who 
is  in  charge  of  the  Central  Committee's  Bill,  was 
prepared  "  to  assist  in  3.x\  agreed  Bill  "  with 
the  Cxjllege  of  Nursing,  Ltd.,  The  Lancet  remarked  : 

"  We  welcome  an  assurance  made  by  Mrs. 
Bedford  Fenwick  from  the  Chair,  speaking  on 
behalf  of  the  Society  for  the  State  Registration  of 
Trained  Nurses,  that  the  Society  has  never  been 
obstructionist ;  and  now  is  evidently  the  time 
to  give  practical  proof  of  this.  A  resolution  was 
passed  at  the  Annual  Meeting  of  the  Society  for 
the  State  Registration  of  Nurses,  and  sent  to  the 
Central  Committee  for  State  Registration,  which 
contained  a  clause  dissociating  the  Society  from 
the  College  of  Nursing.  The  afi&rmative  vote  was 
by  no  means  a  large  one,  but  an  amendment  to 
secure  freedom  frcm  '  the  dcmination  '  of  the 
College  of  Nursing,  '  without  dissociation  from 
it '  was  not  accepted  by  the  chair.  We  find 
this  attitude  hard  to  distinguish  from  obstruction  ; 
we  have  every  confidence  in  the  ability  of  nurses 
to  settle  their  own  polity  without  help  from 
outside  .  .  .  nothing  is  more  certain  than  that 
the  profession  of  nursing  is  likely  to  undergo 
profound  changes  wnthin  the  next  few  years ; 
and,  provided  that  it  is  placed  in  a  position  to 
manage  its  own  affairs,  plasticity  is  altogether 
desirable." 

As  quite  inadvertently,  no  doubt.  The" Lancet' s 
statement  was  calculated  to  give  a  wnrong.  im- 
pression, Mrs.  Bedford  Fenwick,  whose  conduct  of 
business  was  criticised,  sent  an  explanation 
to  The  Lancet,  too  late,  she  was  informed,  for 
insertion  in  its  issue  of  July  13th;  and  upon 
asking  that  it  might  appear  tliis  week,  she  has 
been    informed    that — 

"  We  shall,  of  course,  be  glad  to  insert  a  state- 
ment that  the  amendment  was  proposedjby  a 
person  not  a  member  of  your  Society  and  therefore 
not  accepted  by  you  as  Chairman.  I  fear  con- 
siderations of' space  will  hardly  permit  of  deahng 
with  the  other  matters  at  length,  especially  as 
they  would  give  rise  to  correspondence  for  which 
we  could  not  possibly  find  room." 

To  which  Mrs.  Fenwick  replied  : — 

"  I  much  regret  that  you  are  unable  to 'find 
space  for  my  letter  on  the  article  which  appeared 
in  The  Lancet  on  July  6th,  on  the  ,'  Registration 
of  Nurses,'  as  it  is  calculated  to  give  a  wrong 
impression,  so  far  as  the  policy  of  the  Society  is 
concerned,  and  al,so  of  my  ^ersona/Jattitude  and 


48 


Zbc  3Briti0b  3ournal  of  "Wureine, 


July  20,   1918 


conduct  of  business.  Frankly,  this  is  unfair. 
If  by  inadvertence,  reports  are  published  which 
are  not  correct,  the  person  named  should  have 
the  right  of  reply.  T  had  hoped  The  Lancet  would 
have  agreed  with  this  ethical  journalistic  stand- 
poi  nt.  From  the  lay  press,  generously  subsidised  by 
our  opponents,  we  have  ceased  to  expect  fair  play. 
"  I  shall  do  myself  the  justice  of  publisliing 
my  reply  to  The  Lancet  in  The  British  Journal 
OF  Nursing." 

Lette/  sent  to  the  Editor  of  "  The  Lancet  "  by  Mrs. 
Bedford  Fen  wick.  President  of  the  Society  for 
the  State  Registration  of  Trained  Nurses. 

Registration  of  Nurses. 

Sir, — I  observe  that  in  your  last  issue,  July  6th, 
you  refer  to  the  character  of  the  proceedings  at 
recent  meetings  of  the  College  ci  Nursing,  Ltd.,  and 
the  Society  for  the  State  Registration  of  Trained 
Nurses.  The  single  object  of  the  latter  Society 
since  its  inception  in  1902  has  been  "  To  obtain  an 
Act  of  Parliament  providing  for  the  Legal  Registra- 
tion of  Trained  Nurses,"  and  it  naturally  restricted 
itself  to  the  question  of  Nurses'  Registration  at  its 
annual  business  meeting. 

The  College  of  Nur.sing,  Ltd.,  which  purports  to 
control  Nursing  Education,  together  with  Registra- 
tion and  Discipline,  and  also  to  associate  the 
members  of  the  Nursing  Profession  under  its  direc- 
tion, at  its  recent  Conference  chose  a  wider  field  for 
discussion. 

As  you  refer  to  ray  statement'made  at  the  former 
meeting,  that  the  S'ociety  for  the  State  Registra- 
tion of  Nurses  had  never  been  obstructionist, 
adding,  "  now  is  evidently  the  time  to  give  prac- 
tical proof  of  this,"  I  feel  sure  you  will  grant  me 
the  opportunity  of  disabusing  your  readers  of  a 
wrong  impression. 

The  Society  for  the  State  Registration  of  Nurses, 
which  first  drafted  a  Nurses'  Registration  Bill, 
passed  in  1908  by  the  House  of  Lords,  and  read  a 
first  time  under  the  ten  minutes'  rule  in  the  House 
of  Commons  in  1914  with  a  majority  ot  229,  has 
stood,  and  will  continue  to  stand,  for  fundamental 
principles  of  good  government  in  any  Nurses' 
Registration  Bill  to  which  it  gives  its  support.  In 
opposing  five  successive  drafts  of  the  Bill  promoted 
by  the  College  of  Nursing,  Ltd.,  we  have  so  far 
acted  in  protection  of  the  interests  of  the  Nursing 
Profession  as  a  whole,  the  four  vital  principles  for 
which  we  contend  having  been  omitted  from  the 
drafts.     Fighting  for  principles  is  not  obstruction. 

You  state  further  that  "  A  resoltition  was 
passed  .  .  .  and  sent  up  to  the  Central  Com- 
mittee for  State  Registration,  which  contained  a 
clause  dissociating  the  Society  from  the  Collegf 
of  Nursing  .  .  .  but  an  amendment  to  secure 
freedom  from  "  the  domination  "  of  the  Collqge  of 
Nursing  without  dissociation  from  it  "  was  rot 
accepted  by  the  Chair." 

May  I  explain  that  my  Society  is  not,  and  never 
has  been,  associated  with  the  College  of  Nursing, 
and  that  the  amendment  to  which  you  allude  was 
not  accepted  by  me  as  Chairman,  as  it  was  pro- 


posed by  a  person  who  was  not  a  member  of  the 
Society,  and  was  therefore  not  in  order. 

May  I  express  my  appreciation  of  your  state- 
ments "  w-e  have  every  confidence  in  the  ability  of 
nurses  to  settle  their  own  polity  without  help 
from  outside  .  .  .  and  "  Nothing  is  more  certain 
thar  that  the  profession  of  J  nursing  is  likely  to 
undergo  profound  changes  within  the  next  few 
years,  and,  provided  that  it  is  placed  in  a  position 
to  manage  its  own  affairs  plasticity  is  altogether 
desirable." 

It  is  this  power  of  self-determination  and  plas- 
ticity for  which  the  organised  Societies  of  Nurses 
grouped  in  the  Central  Committee  are  contending, 
and  which  will  be  rendered  impossible  if  the 
College  of  Nursing,  Ltd.,  and  its  present  restrictive 
and  inelastic  Memorandum  and  Articles  of  Associa- 
tion are  incorporated  in  an  Act  of  Parliament, 
bestowing  upon  it  powers  exercised  in  the  Medical 
Profession  by  three  separate  bodies,  wliich  main- 
tain the  balance  of  power  in  that  profession,  i.e., 
the  Royal  Colleges  of  Physicians  and  Surgeons 
(Education)  the  General  Medical  Council  (Regis- 
tration and  Discipline)  and  the  British  Medical 
Association  (free  action  in  the  body  politic). 

The  Constitution  of  the  College  of  Nursing,  Ltd., 
(a  company  of  laymen)  is  calculated  to  establish  a 
Nursing  monopoly,  which  in  our  opinion  would 
undermine  the  professional  and  economic  inde- 
pendence of  the  Nursing  Profession. 

We  claim  in  our  Bill  a  democratic  and  inde- 
pendent Governing  Body  authorised  by  Act  of 
Parliament,  entirely  free  from  the  restrictive  Con- 
stitution of  the  College  of  Nursing,  Ltd.,  and  tliis 
principle  of  democratic  organisation  we  must  con- 
tinue to  support.  Hoping  for  the  sympathy  of 
The  Lancet  for  our  professional  claims. 
I  remain. 

Yours  faithfully, 

Ethel  G.  Fenwick, 

President. 


As  this  explanation  has  not  been  inserted,  the 
readers  of  The  Lancet  are  left  to  assume  that  the 
members  of  the  Society  for  the  State  Registration 
of  Trained  Nurses,  who  have  largely  inspired,  and 
paid  for,  the  campaign  for  nursing  reform  for  the 
protection  of  the  public,  and  the  nursing  profes- 
sion, are  contumacious  obstructionists,  and  its 
President  incapable  of  conducting  its  business 
without  prejvidice. 

A  most  unmerited  aspersion  upon  the  public- 
spirited  character  of  the  Society,  and  one  we 
cannot  permit  to  pass  without  protest. 


WEDDING     BELLS. 

At  the  reception  held  after  tlie  wedding  of 
Mr.  Cyril  Thatcher  to  Miss  Ethel  Benjamin, 
Assistant  Commandant  of  the  Women's  Legion, 
the  bride  was  presented  by  the  wife  of  the  Serbian 
Minister  A\dth  the  Order  of  th.e  Royal  Red  Cross  of 
Serbia,  in  recognition  of  hev  services  to  that 
country. 


July  20,   1918 


ZTbe  British  3ournarof  IRureing. 


49 


PROGRESS  OF  REGISTRATION  IN 
CANADA. 

The  Canadian  Nurse  publishes  the  good  news 
that  after  nearly  six  years  of  preparation  and 
attempts  to  get  it,  "  the  Nurses'  Registration  Act 
has  been  passed  in  British  Columbia,  and  she  now 
joins  the  rest  of  the  Western  Provinces  in  such 
recognition."  One  interesting  feature  about  the 
support  given  to  the  Bill  was  the  very  general 
feeling  among  members  that,  by  having  established 
aflfMiation,  the  evident  attempts  of  the  Graduate 
Nurses'  Association  to  help  the  smaller  hospitals 
formed  a  good  reason  for  passing  the  Bill.  The 
Bill  was  introduced  as  a  Public  Measure,  and  was 
generally  recognised  as  a  protection  to  the  public 
as  well  as  the  graduate  nurse. 

The  Act  seems  a  thoroughly  sound  one,  and 
follows  closely  the  principles  laid  down  in  the 
Central  Committee's  Bill  in  this  country — Indepen- 
dent Governing  Body,  three  years'  term  of  training, 
protected  title,  affiliation  of  special  hospitals,  and  a 
ten-dollar  {£2)  registration  fee.  Good.  Hearty 
congratulations  to  our  Canadian  colleagues. 


COLLEGE  OF  NURSING,  LTD. 

Centres  of  the  College  have  been  formed  at  Derby 
and  Bristol.  At  tne  latter  centre  Sir  Arthur 
Stanley  stated  that  the  local  centre  would  include 
the  adjoining  counties,  and  everything  would  be 
done  to  encourage  its  power  of  initiative.  At  the 
moment  they  were  not  bothering  about  big  build- 
ings in  London,  but  they  did  need  an  annual  income 
of  about  ;^5,ooo,  which  they  hoped  to  secure  by 
means  of  an  endowment  fund  of  ;^ioo,ooo.  Sir 
Arthur  then  announced  that  six  prominent  laj'-men 
had  consented  to  serve  on  the  finance  committee, 
so  the  system  of  placing  the  laity  in  charge  of  the 
money  means  placing  the  practical  contiol  of  these 
local  centres  in  their  hands.  Nothing  can  be  more 
stultifying  to  "  initiative  "  on  the  part  of  the 
nurses  than  to  deprive  them  of  the  financial  control 
of  their  own  affairs.  But  this  is  the  College  policy 
throughout.  There  is  no  truer  proverb  in  our 
language  than  "those  who  hold  the  purse-strings 
call  the  tune."  All  the  College  nurses  need  do  is  to 
toe  the  line. 


THE  IRISH  NURSING  BOARD. 

At  the  meeting  of  the  Irish  Nursing  Board,  held 
on  July  i2th,  the  following  seven  members  were 
elected  by  ballot  as  the  Executive  Committee,  to 
hold  office  for  three  years  : — Miss"  Huxley,  Miss 
Carson  Rae,  Dr.  Kirkpatrick,  Miss  O'Flynn,  Miss 
Ramsden,  Miss  Reeves,  Miss  Kearns.  Colonel  Sir 
Arthur  Chance,  F.R.C.S.I.,  was  elected  Chairman 
of  the  Board  for  the  ensuing  year. 

The  Board  have  every  reason  to  be  satisfied  with 
the  first  year's  work.  Nurses  have  joined  in 
numbers,  fully  realising  the  value  of  a  strong 
Register  to  support  them,  and  of  the  Irish  Nursing 
Board  to  look  after  their  interests  when  Parliament 
grants  State  Registration  of  Nurses. 


PRESENTATION. 

Miss  Ellen  Chippindale,  on  leaving  the  Clapham 
Maternity  Hospital,  of  which  she  has  been  Matron 
for  six  years  and  Sister  for  five  years,  was  pre- 
sented, on  July  1 2th,  by  past  and  present  nurses 
with  a  silver  tea-tray  and  tea  kettle  and  stand. 

Her  departure  is  very  deeply  regretted  by  all 
who  have  worked  with  her  or  had  the  privilege  of 
training  under  her.      She  also  received  other  gifts. 


APPOINTMENTS. 

MATRON. 

District  Hospital,  Newbury.  —  Miss  Phoebe 
Jones  has  been  appointed  Matron.  She  -was 
trained  at  the  Royal  Infirmary,  Liverpool,  and 
has  been  Sister  at  No.  2  Red  Cross  Hospital, 
Rouen  ;  Night  Superintendent  at  tie  British  Red 
Cross  Hospital,  Netley  ;  and  Matron  at  Groesynyd 
Hospital,  Conway. 

NIGHT     SUPERINTENDENT. 

Welsh  National  Hospital,  Netley.— Miss  Emily  God- 
frey has  been  appointed  Night  Superintendent. 
She  was  trained  at  the  York  County  Hospital, 
and  subsequently  held  the  position  of  Sister  in 
the  same  institution,  and  that  of  Night  Super- 
intendent at  the  Royal  Infirmary,  Perth. 

THEATRE   SISTER. 

Nortli     Lonsdale     Hospital,     Barrow-in-Furness. — 

Miss  Alys  M.  Hatton  has  been  appointed  Theatre 
Sister.  "She  was  trained  at  the  Royal  Salop 
Infirmary,  Shrewsbury,  has  been  Night  Sister  and 
Sister  at  the  General  Hospital,  Walsall,  and  Sister 
at  the  Miller  General  Hospital,  Greenwich,  and 
at  the  Red  Cross  Hospital,  Sandivery,  Cheshire.; 
SISTER. 

W  Ormskirk  Military  Hospital.— Miss  Nellie  Walton 
has  been  appointed  Sister.  She  was  trained  in 
general  nursing  at  St.  Luke's  Hospital,  Halifax, 
and  in  Fever  Nursing  at  Mortrn  Banks,  KeigWey. 

SECOND     MASSAGE     SISTER. 

Leicester  Royal  Infirmary. — Miss  Ella  H.  Cozens 
has  been  appointed  Second  Massage  Sister.  She 
was  trained  a.t  Bristol  Royal  Infirmary,  and  holds 
the  certificate  of  the  incorporated  Society  of 
Trained  Masseuses. 

WELCOME  HELP. 

The  President  of  the  Society  for  the  State  Regis- 
tration of  Trained  Nurses  acknowledges  with 
thanks  the  following  donations  to  the  funds  of  the 
Societv  :--Miss  A.  E.  Hulme,  £s'y  Anon.,  £2; 
Miss  F.  Sleigh,  £1  is. ;  Mrs.  Turnbull,  £1  is.  ; 
Miss  M.  N.  Cureton,  £1  ;  Miss  E.  J.  Hurlston, 
£1 ;  Miss  J.  C.  Child,  £1  ;  Miss  Beatrice  Kent, 
los. ;  Mrs.  G.  F.  Wates,  los. ;  Miss  C.  A.  Little, 
9s. ;  Miss  L.  Huggins,  8s.  6d. ;  Miss  C.  MacGarthy, 
6s. ;  Miss  E.  Ross,  5s.  ;  Miss  Macvitie,  5s.  ;  Miss 
Lucy  Woodrow,  5s. ;  M'ss  Muriel  Withers,  5s. ; 
Miss  E.  Martin,  5s. ;  Miss  L.  M.  Havers,  3s.  6d. ; 
Miss  C.  Wright,  2s.  6d.  ;  Miss  F.  E,  Batt,  2s. ; 
Miss  M.  G.  Allibut,  is.  6d. ,-  Miss  McGimpsey,  is. 


^be  Bnti9l5  3ournal  of  murstng. 


July  20,   1 918 


NURSING    ECHOES. 


The  beautiful  verses  which  appear  in  this 
Journal  from  time  to  time,  signed  "  C.  B.  M.," 
are  written  by  the  sister  of  the  Editor.  We 
note  that  "  R-achel  Weeping  "  has  been  in- 
serted in  a  nursing  exchange  without  acknow- 
ledgment to  The  British  Journal  of  Nursing. 
We  are  glad  to  give  permission  for  our  exclu- 
sive contributions  to  be  re-published  by  profes- 
sional journals,  but  courtesy  and  the  law  of 
copyright  demand  that  their  source  should  be 
acknowledged. 


Mrs.  Baines  and  Miss  Imandt,  of  the  Society 
of  Women  Journalists,  are  to  be  At  Home  to 
meet  the  Colonial  Matrons-in-Chief,  at  2-4, 
Tudor  Street,  E.G.,  on  Thursday,  July  i8th, 
from  3.30—6.  We  surmise  this  will  be  a  very 
interesting  occasion.  We  have  quite  a  number 
of  nurse  journalists  in  these  days,  and  many 
of  our  matrons  have  quite  the  literary  touch. 
The  pre-war  teas  of  the  Society  of  Women 
Journalists  were  renowned.  Alas  !  we  fear  that 
delectable  raisin  cake  our  souls  loved  no  longer 
graces  the  menu.  Let  us  hope  good-fellowship 
continues  to  make  up  for  luxuries  of  a  more 
material  nature. 


The  Committee  of  the  County  Hospital, 
York,  has  decided  to  raise  the  salaries  of  the 
probationers  in  training  from  ^6,  ;£i2,  and 
£16  per  annum  to  ;^i8  and  ;^20  respectively. 
If  they  remain  on  for  special  experience  they 
will  be  paid  at  the  rate  of  jQ2/\.  for  the  first 
six  months,  and  of  jQ^o  for  the  time  they  act 
as  Sister.  The  Sisters'  salaries  start  at  £j\o, 
vi^ith  ;^5  war  bonus,  with  a  yearly  rise  up  to 


Dr.  H.  C.  Cameron,  the  examiner  of  proba- 
tioners at  the  Portsmouth  Infirmary,  has  re- 
ported very  favourably  on  their  standard  of 
knowledge. 

"  As  a  whole,"  said  Dr.  Cameron's  report, 
"  and  especially  in  the  second  and  third  years, 
the  standard  attained  by  the  nurses  was  uni- 
formly high — higher  than  I  have  met  with  else- 
where." 

The  Infirmary  Committee  has  decided  to 
admit  probationers  at  the  age  of  19  instead  of 
21,  owing  to  the  difficulty  in  obtaining  proba- 
tioners. 


having  a  wonderful  success.  ;^5,ooo  has  been 
raised,  and  a  capital  fund  of  ;;^io,ooo  is  aimed 
at.  Premises  have  been  obtained  at  206,  Bath 
Street,  Glasgow,  and  are  being  suitably 
equipped. 

Mrs.  Strong,  formerly  Matron  of  the  Royal 
Infirmary,  is  giving  much  personal  help  with 
the  organization,  and  Dr.  McGregor  Robertson 
is  encouraging  the  nurses  to  help  themselves. 
This  is  the  right  policy  where  professional 
women  are  concerned  if  success  of  the  right 
kind  is  to  be  attained. 


A  correspondent  sends  the  following  adver- 
tisement from  the  Glasgow  Herald: — 

PROBATIONERS  wanted  for  general  training, 
hospital,  60  beds  (North  of  England),  recog- 
nised as  a  training  school  by  the  College  of  Nursing ; 
applicants  must  be  strong,  well  educated,  age  20  to 
28;  salary,  first  year,  £15;  second,  £iy  ;  third, 
;^2o,  with  a  yearly  bonus  of  £5  ;  indoor  uniform 
provided  after  two  months. 

She  thinks  it  is  misleading  to  young  candidates 
for  training,  as  the  College  of  Nuising,  Ltd., 
cannot  possibly  know  anything  of  the  result  of 
the  teaching  and  training  at  this  hospital. 


THE   TRAINED  WOMEN    NURSES' 
FRIENDLY  SOCIETY. 


The  Scottish  Nurses'  Club  in  Glasgow,  pro- 
moted by  the  Scottish  Nurses'  Association,  is 


We  have  pleasure  in  informing  the  members 
of  the  Trained  Women  Nurses'  Friendly 
Society  that  their  Committee  (owing  to  careful 
management)  has  just  invested  ;^i,200  on 
behalf  of  their  Sick  Benefit  Fund,  so  that  now 
their  invested  savings  are  nearing  ;^5,ooo — a 
splendid  result.  This  proves  how  thrifty  women 
are  in  managing  public  money,  and  should 
encourage  trained  nurses  to  join  their  own  pro- 
fessional society,  and  help  to  pile  up  an  invested 
fund,  so  that  in  the  future  they  can  expend  the 
income  in  extra  benefits.  Each  member  should 
get  her  friends  to  join,  and  prove  women's 
capacity  for  financial  responsibility. 

Now  that  the  Insurance  Act  has  been 
amended,  the  bad  habit  of  omitting  to  give 
notice  to  the  Secretary  of  illness,  sometimes  for 
weeks  after  the  event,  must  be  discontinued  by 
Nurses,  as  they  are  only  to  receive  benefit  from 
the  day  following  that  on  which  notice  of  in- 
capacity is  given.  Thus  a  serious  loss  may  be 
sustained.  On  the  other  hand,  nurses  who  con- 
tinue to  break  the  law  must  expect  to  suffer 
for  it.  They  must  learn  to  be  business-like, 
and  not  treat  an  Act  of  Parliament  like  a  scrap 
of  paper. 


July  20,   1918 


^be  »ntl0b  3ournal  ot  'Kureina. 


5^ 


THE  OVERSEAS  NURSING  ASSOCIATION. 

The  twenty-second  annual  report  of  the 
Colonial  Nursing  Association  (now  the  Over- 
seas Nursing  Association)  states  that  in  the 
face  of  the  present  difficulties  it  was  hardly 
to  be  expected  that  any  new  developments  in 
the  work  would  take  place.  The  Committee 
are,  therefore,  pleased  to  record  that  in  three 
instances  requests  for  nurses  in  new  fields  of 
labour  ^have  been  met.  A  Matron  and  two 
nurses  have  been  supplied  to  the  British  Hos- 
pital, Lisbon ;  a  female  Head  Attendant  to  the 
St.  Anne's  Lunatic  Asylum,  Trinidad;  and  two 
nurses  for  Government  service  in  what  before 
the  war  was  German  East  Africa. 

The  Committee  continue  to  receive  encourag- 
ing reports  of  nurses  serving  abroad.  In 
Nyasaland  Miss  R.  Paterson,  Matron  of  the 
Government  Hospitals,  and  Nursing  Sister  A. 
Fallot  have  been  decorated  with  the  Royal  Red 
Cross,  and  were  mentioned  in  a  Dispatch  from 
Brigadier-General  Northey  "  for  their  splendid 
work  during  the  past  year."  Nineteen  addi- 
tional badges  for  meritorious  service  for  five 
years  and  upwards  have  been  awarded.  The 
Committee  record  with  deep  regret  the  death 
of  two  of  their  nurses  on  their  voyage  home  to 
this  country  on  leave.  Miss  M.  Graham,  from 
Southern  Nigeria,  was  a  passenger  on  the 
ss.  "  Abasso,"  torpedoed  on  May  17th,  and 
Miss  M.  Poulter  on  the  ss.  "Appapa,"  tor- 
pedoed in  December  last. 

Nothing  definite  appears  to  have  been  done 
towards  supplying  midwives  to  the  outlying 
districts  of  Canada,  concerning  which  proposal 
there  was  some  strong  criticism  expressed  from 
Canada  last  year.  The  report  states  : — "  It  is 
felt  that  this  matter  can  only  be  taken  in  hand 
in  compliance  with  the  wishes  of  the  Canadian 
Authorities,  but  active  steps  are  being  taken  to 
make  it  known  that  the  Association  is  anxious 
to  lend  its  aid  in  the  selection  and  provision  of 
nurse  midwives  from  the  Mother  Country." 

The  Dowager  Countess  Grey,  Miss  Amv 
Hughes,  and  Major  D.  K.  McDowell,  C.M.G.', 
R.A.M.C.,  have  been  elected  to  fill  vacancies 
on  the  committee. 


HOSPITAL    WORLD. 

In  consequence  of  the  increasing  number  of 
Child  Welfare  Centres  in  North  London,  the  Com- 
mittee of  the  Great  Northern  Central  Hospital, 
Holloway,  have  established  a  Consultative  Centre 
for  Children.  Consultations  mil  be  on  Wednesday 
and  Thursday  each  week,  when  children  referred 
from  any  Welfare  Centre  in  North  London  wall  be 
seen  by  appointment.  At  a  later  date  a  Clinic  for 
Children  will  be  inaucfurated . 


LONDON  HOSPITAL  NURSES. 

A  lively  correspondence  has  been  kept  up  in 
the  Times  on  the  "  farming  out  "  of  two  years' 
trained  nurses  at  the  London  Hospital,  sub- 
sequent to  Major  Chappie's  question  on  the 
subject  in  the  House  of  Commons. 

Lord  Knutsford,  the  Chairman,  and  a  keen- 
supporter  of  the  lucrative  intensive  system  of 
training  at  the  London  Hospital,  repeats  his 
convictions,  and  accuses  Major  Chappie  of 
trickery  in  the  House. 

Colonel  Maurice,  A. M.S.,  supports  in  a  well- 
reasoned  speech  the  sound  economic  claims  of 
Major  Chappie. 

Then,  of  course,  in  butts  Sir  Henry  Burdett, 
and  presumes  to  "  voice  the  wish  of  the  nursing 
profession,"  and  "  ventures  "  incidentally  "  to 
appeal  to  the  Chairman  of  the  London  Hos- 
pital "  to  do  justice  to  the  probationary  nurses 
under  his  control,  and  abandon  the  ambiguous 
system  of  giving  a  two  years'  certificate  of 
training,  and  supplementing  it  with  a  second  at 
the  end  of  two  years'  private  work — a  system 
Sir  Henry  has  supported  with  vehemence  in  his 
nurses'  papers,  especially  when  "  Bart's  " 
nurses  protested  against  the  depreciation  of 
their  three  years'  certificate,  when  a 
*'  Londoner  "  was  thrust  upon  them  as  Matron 
with  the  lower  qualification  ! 

Lord  Knutsford  returns  to  the  attack  on 
July  nth  and  i6th,  and  points  out  that 
neither  Sir  Henry  Burdett  nor  "  his  son-in- 
law,"  Colonel  Maurice,  "have  given  any 
reason  why  the  London  Hospital  should  change 
its  methods."  He  trot^  out  the  well-known 
fact  that  both  the  Matrons-in-Chief — in 
England  and  "France — of  Q.A.I.M.N.S.  are 
"  Londoners,"  but  fails  to  inform  the  public 
that  he  and  other  officials  of  the  London 
Hospital  have  seats  on  the  Nursing  Board 
which  made  these  appointments  !  As  the  dis- 
pute is  one  of  the  exploitation  of  the  Nursing 
Profession,  Lord  Knutsford  might  very  per- 
tinently have  invited  Sir  H.  B.  to  disclose  the 
profits  on  his  nurses'  papers,  and  prove  how 
entirely  disinterested  has  been  his  connection 
with  our  profession  for  the  past  thirty  years  ! 

Up  to  date  Major  Chappie  sits  on  velvet ;  he 
repeats  his  statements  categorically,  and  no 
fcne  can  disprove  them. 

Nurses  with  only  two  years'  experience  are 
certified  as  "  trained  "  and  "  farmed  out  " 
for  the  profit  of  the  charity,  under  a  contract 
for  a  further  two  years'  service. 

It  is  significant  that  the  emoluments  paid  to 
the  Matron  who  originated,  and  controls,  this 
profitable  business  are  considerably  in  advance 
of  those  of  any  other  Matron  in  the  kingdom. 


52  Zbc  »rttieb  3ournal  of  flurama.  ^"^y  ^°'  '9i8 

OUTSIDE    THE    GATES.  BOOK    OP   THE   WEEK. 


DIED     FOR    THEIR    COUNTRY. 

The  King  and  Queen  went  to  St.  Paul's  to  pray- 
on  July  13th,  with  over  4,000  Woolwich  munition 
workers. 

The  special  prayer  said  by  the  Bishop  of  South- 
wark  was  :  "  Almighty  God,  we  commend  into 
Thy  hands  of  mercy  the  souls  ol  our  brothers  and 
sisters  who  have  laid  down  their  li>'es  whilst 
devoting  their  skill  and  industry  to  the  service 
of  their  country.  Grant  that  they  may  be 
accounted  worthy  of  a  place  amongst  Thy  faithful 
servants  in  the  Kingdom  of  Heaven  ;  ard  give 
both  to  tliem  and  to  us  forgiveness  for  all  our  sins 
and  increasing  understanding  of  Thy  will ;  for 
His  sake  Who  loved  us  and  gave  Himself  for  us. 
Thy  Son,   our  Saviour,   Jesus  Christ.     Amen." 

There  was  a  moment  of  great  emotion  when 
the  King  and  his  people  stood  and  listened  to  the 
"  Last  Post "  and  Reveille,  sounded  by  the 
trumpeters  of  the  Royal  Regiment  of  Artillery, 
"  as  a  tribute  to  those  who  in  Woolwich  munition 
factories  have  laid  down  their  lives  for  their 
country." 


The  House  of  Commons  accepted  without,  a 
division  the  second  reading  of  the  Government 
Bill  for  prolonging  the  life  of  Parliament  for 
another  six  months  to  January  30th,  1919- 
Then  it  is  to  be  hoped  this  tired  Parliament  will 
cease  to  exist,  and  women  have  a  chance  of 
recording  their  votes  for  men  of  a  very  difEerent 
type. 


ENEMY     ALIENS. 
A    CLEAN    SWEEP. 

Mrs.  Dacre-Fox,  the  organizer  of  the  enthusiastic 
mass  meeting  held  in  Trafalgar  Square  last  Satur- 
day in  support  of  a  "  clean  sweep  "  of  Germans  at 
large  and  in  office,  had  reason  to  be  w«ll  satisfied 
with  the  spirited  determination  it  evinced.  The 
speakers  used  good  old  Saxon  English,  and  the 
following  resolution  was  passed  with  loud  and  pro- 
longed acclamations  : — 

That  this  mass  meeting  regards  the  proposals 
made  by  the  Hofne  Secretary  on  Thursday  in  the 
House  of  Commons  as  futile  and  useless  to  deal 
with  the  alien  enemy,  and  refuses  to  accept  any 
such  compromise  on  the  part  of  the  authorities. 

It  demands  the  immediate  internment  of  all 
aliens  of  enemy  blood,  whether  naturalised  or 
unnaturalised,  the  removal  of  all  such  aliens  from 
every  Government  and  public  office,  and  calls 
•upon  the  Government  to  take  whatever  steps  are 
necessary  to  put  this  resolution  into  effect. 

When  the  resolution  was  carried,  Mcs.  Dacre-Fox 
said  she  would  ask  the  Prime  Minister  to  receive  a 
deputation  in  order  to  convey  to  him  the  determina- 
tion of  the  meeting  to  see  that  no  half-measures 
were  adopted  by  the  Government  in  the  treatment 
of  the  enemy  alien  f>eril. 


THE    SINQER.* 

There  is  enough  good  material  in  this  book  to 
make  two  stories  and  so  many  interesting  personali- 
ties that  it  is  impossible  tc  do  them  justice  in  a 
short  notice. 

Pauline,  the  singer,  is  the  central  figure  and  her 
career  is  full  of  interesting  details. 

It  was  when  singing  at  a  country  house  that  she 
fi.rst  met  Doctor  Carnovious,  who  opened  the  door 
for  her  to  all  that  her  ambition  had  dreamed  of. 
He  fell  in  love  with  her  voice,  with  her  beauty, 
with  everything  that  belonged  to  her  at  that  first 
meeting,  and  from  the  first  was  determined  to 
marry  her.  But  it  must  be  well  understood  that 
he  was  a  German,  that  the  time  was  that  prior  to 
the  war  and  that  he  was  in  England  studying 
coast  erosion.  It  was  he  who  procured  for  her  an 
introduction  to  the  great  Ottenscheiner,  who  in 
his  turn  introduced  her  at  the  German  Embassy. 
Although  Pauline  was  as  yet  unaware  of  any  deep 
feeling  for  Carnovious,  the  thought  of  another 
woman  in  the  field  of  his  favour  was  vagubly 
distasteful  to  her.  The  face  of  the  beautiful 
Baroness  whom  her  friend  Florrie  Keppel  had 
designated  '  a  cat,  but  a  beautiful  cat,"  persisted 
in  Pauline's  remembrance  when  that  of  others  to 
whom  she  had  spoken  was  blurred.  "  What  was 
she  to  Carnovious  or  he  to  her  ?  And  did  the 
answer  to  either  question  matter  to  her  who 
devoted  her  immediate  future  to 'art  ?  "  But  of 
course  she  married  him,  because  he  had  deter- 
mined that  she  should  do  so,  and  she  apparently 
was  quite  happy  with  him  until  she  regained  from 
him  by  a  trick  the  secret  code  of  the  disposal  of 
the  British  Navy,  which  the  beautiful  Baroness  had 
obtained  for  the  German  Secret  Service,  of  which 
she  and  Carnovious  were  illustrious  members. 
Pauline  loved  her  German  husband  (strange  as 
may  seem  to  us),  but  she  unhesitatingly  tricked 
him  when  the  honour  of  her  country  was  at  stake. 

He  condemned  her  to  die  by  her  own  hand  in 
consequence,  but  the  same  night  he  was  electro- 
cuted, in  his  study,  by  a  naked  wire  on  his  electric 
lamp.  Not  by  any  means  an  accident,  we  are  led 
to  believe. 

The  excitement  and  colour  of  beautiful  Pauline's 
career  is  balanced  by  that  of  the  super-mother, 
Mrs.  Barbacre.to  whom  we  are  introduced  at  the 
moment  that  she  has  selected  the  golf  course  as 
a  suitable  place  for  a  picnic  for  her  infant  son. 

Her  husband  was  a  novelist,  but  Mrs.  Barbacre's 
interests  were  somewhat  circumscribed.  At 
irregular  intervals  she  had  taken  an  interest  in  his 
later  books,  but  it  had  more  reference  to  their  sales 
than  their  composition.  It  will  be  possible,  there- 
fore, to  believe  that  when  Mr.  Barbaore  announced 
that  he  was  taking  lessons  in  golf,  she  did  not 
enquire  what  golf  was,  in  what  manner  it  was 
played,  or  where,  but  simply  said,  "  How  nice. 
You  might  pass  the  mustard." 

♦  By  W.  J.  Escott.    Blackwood  &  Sons,  London. 


The  British    Journal  of  Numng,  luly  20,  19lS. 


"  Science    is,    I    believe, 

nothing  but  trained  and 
organized  common-sense, 
differing  from  the  latter 
only  as  a  veteran  may 
differ  from  a  raw  recruit : 
and  its  methods  diffe' 
from  those  of  common- 
sense  only  so  far  as  the 
Guardsman's  cut  and 
thrust  differ  from  the 
manner  in  which  a  savage 
wields  his  club." 

Professor  Huxley. 


The  Basis 
of 
Science 


BOOTS  PURE  DRUG  COMPANY  LIMITED  wish  to  draw  the 
attention  of  the  medical  profession  to  the  following  seven  scientific 
preparations.  Practitioners  who  endeavour  to  keep  abreast  of  the  times 
will  find  these  modern  antiseptics  of  superlative  value  in  general  practice. 


CHLORAMINE-T 

(p-loluene-$odiam-tulphoehloramide). 

Dakin's  ideal  antiseptic,  of  wide  applicability  ia 
medicine  and  surgery. 

In  bottles  of  loz..  1/2:   4oz..  3/6:  lib..  12/C 

CHLORAMINE-T  GAUZE 

In  two  strengths,  containing  approximately  5% 
and  35%  Chloramine-T.  (5%  supplied  unlets 
otherwise  specified).  This  should  be  fixed  dry 
and  subsequently  moistened,  if  necessary,  when 
in  position. 

In  sealed  packaget  only,  price  1/6  per  package. 

y 

PROFLAVINE 

(TC  Jiamlno-aertdlne-iuIphaU). 
The  improved  Flavine  derivative. 

Equal  in  antiseptic  powers  to  Acrtflavine,  and  in 
important  respects  superior,  being  markedly  less 
toxic  and  less  irritating.  Proflavine,  being  less 
costly  to  manufacture,  can  be  sold  at  a  substantially 
lower  price  than  Acriflavine. 

5  Rram  bottle,  1/4 :  20  cram  bottle.  5/- 

HALAZONE  TABLETS. 


TABLETS  OF  CHLORAMINE-T 

One  tablet  dissolved  in  two  ounces  of  water  makes 
a  one  per  cent,  solution. 

Bottles  of  25,  8*75  grain  tablets,  l/t 

„        50,    „        „       „      il- 
„        100,    „         .,         ,.        8/9 

One  tablet   dissolved  in  ten  ounces  of  water  makes 

a  one  per  cent   solution. 

Bottles  of  12  43*75  grain  tablets.  1/10 

CHLORAMINE-T  CREAM 

Containing  approximately  one  per  cent.  Chlora- 
mine-T. Described  and  investigated  under  the 
name  of  Chloramine  Paste  by  Vincent  Daufresn*. 
Carrel.  Hartmann  and  others,  in  the  Journal  of 
Experimtnlal  Medicine,  1917. 

In  Pots.    Trial  size.  8d. ;  large  size.  S/8. 

TABLETS  OF  PROFLAVINE 

(with  todium  chloride). 

One  tablet  dissolved  in  four  fluid  ounces  sterile 
water  makes  1:1000  Proflavine  in   normal  salin*. 

Bottley  of  100  tablets.  S/6 


DAKIN'S   NEW   WATER   DISINFECTANT. 
Vidm  B.M.J..  May,  1917. 


^Vll 


The  action  of  Halazone  is  positive,  and  may  be  relied  upon  for  crudest  waters.  Each  tablet  is  sufficient  to 
sterilize  one  quart  of  contaminated  water,  but  in  cases  of  extreme  contamination  a  second  tablet  may  b« 
necessary.    Halazone  is  invaluable  for  those  on  active  service  overseas,  more  particularly  in  hot  climates. 

Bottles  of  100  tablets.  6d. 

Supplies  are  available  for  prescription  service  on   applieaUon 
through  any  of  the  branchet  of  BOOTS  THE.  CHEMISTS. 

Boots  Pure  Drug  Company  Limited 

MANUFACTURING   CHEMISTS    AND    MAKERS   OF   FINE   CHEMICALS. 
Head  Offices:    Station  Street.  Nettiogham.       JESSE  BOOT.  Managiag  Diraetac. 


54 


Z\)c  »rttl6b  3ournal  of  "Wurgina. 


July  20,   1 918 


So  it  came  to  pass  that  she  and  her  infant 
settled  to  their  picnic  upon  tue  golf  course. 

"  A  tall  gentleman  came  rapidly  up  to  her  and 
lifting  his  cap,  said  most  urbanely  : 

"  You'll  excuse  me,  madam,  but  might  I  remove 
your  chair  and  things  to  a  better  place  ?  " 

"  Not  at  all.  Oil,  don't  trouble,  please.  We 
are  quite  comfortable  here." 

"  But  the  danger,  madam,  to  your  little  boy  ! 

"  Cows  ?  "  said  Mrs.  Barbacre,  looking  round 
in  various  directions. 

"  No,  no,  madam  ;   golf  balls." 

"  Oh,  yes,"  said  she,  still  bewildered. 

"  This,  madam,  is  what  we  call  a  '  green,'  a 
little  over  hero  would  be  quite  safe." 

Pretty  httle  slangy  Patricia,  her  young  daughter, 
is  the  very  antithesis  of  her  matter-of-fact  mother, 
but  she  is  a  charming  little  person,  and  we  are 
glad  that  she  is  happy  with  Jules  at  last. 

"  Pat,  Cherie,  I  love  you  a  thousand  times  more 
than  anyone  else  in  the  world." 

Jules  sealed  the  betrothal,  and  so  did  she. 

"  How  could  I  ?  "  said  she,  blushing  furiously. 
"  Now  go  downstairs  and  face  the  music.  I  am 
going  to  change  my  face." 

"  Then  I  shan't  marry  you,"  said  Jules. 

H.  H. 


MISSING. 


Tell  me  he's  dead  or  dying ;  say  he  stands 

Seeking  for  guidance  the  warm  touch  of  hands. 

Doomed  in  an  instant  to  eternal  night, 

With  only  mind  and  memory  for  sight — 

For  I  could  cheer  him.— But,  Lord,  quench  this 

drought. 
The  unfathomable  immensity  of  doubt. 
Tell  me  he's  maimed  or  crippled,  torn  or  blind. 
Staring  through  eyes   that  show  his   wandering 

mind, — 
Tell  me  he's  rotting  in  a  place  abhorred, — 
Not  this,  not  this,  O  Lord  ! 

—From  Poems  by  Geoffry  Dearmer. 


WHAT    TO    READ. 

In  these  days  of  difficulty  in  getting  books 
it  is  well  to  know  of  the  best,  so  as  not  to  waste 
time  in  reading  rubbish.  Read,  if  you  can  get 
them,  "  General  von  Sneak,"  by  Robert  Blatcb- 
f  ord ;  "Towards  Morning,"  by  Miss  I.  A.  R. 
Wylie  ;  "  That  Which  Hath  Wings,"  by  Richard 
Dehan  ;  "  On  the  Edge  of  the  War  Zone,"  by 
Mildred  Aldrich  ;  "  Yellow  English,"  by  Dorothy 
Flatau ;  and  "  First  the  Blade,"  by  Clemence  Dane. 


COMING    EVENTS. 

July  25th. — Central  Midwives'  Board.  Monthly 
Meeting,  i.  Queer  Anne's  Gate  Buildings,  Dart- 
mouth Street,  S.W. 

August  15/.— Central  Midwives'  Boaid.  Exami- 
nation in  London,  Birmingham,  Bristol,  Leeds, 
Liverpool.     Oral  Examinatiion  a  tew  days  later. 


LETTERS  TO  THE  EDITOR. 

Whilst  cordially  inviting  communications  upon 
all  subjects  jor  these  columns,  we  wish  U  to  h$ 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

NATIONAL  BABY   WEEK. 
To  the  Editor  of  The  British  Journal  of  Nursing. 
Dear  Madam, — On   behalf  of  National  Baby 
Week  Council  I  wish  to  thank  you  most  warmly 
for  the  generous  help  you  have  given  to  our  work. 
Free  publicity  at  a  time  like  this,  when  space 
has  to  be  so  severely  curtailed,  can  only  be  given 
at  the  cost  of  real  individual  sacrifice,  and  I  should 
like  you  to  realise  how  deeply  my  Committee 
appreciate  all  you  have  done. 
Yours  faithfully, 

Eric  Pritchard, 
Chairman  ot  the  Executive  Committee. 

THE   HEALTH  OF  THE    RACE. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Mapam, — If  Dr.  Truby  King  could  have 
brought  with  him  New  Zealand  skies,  open  spaces, 
healthy  homes  and  conditions  generally  prevailing 
there,  he  might  have  added  greatly  to  his  reputa- 
tion as  a  "  baby  saver  "• — a  title  which  is  being 
claimed  for  him  by  the  lay  press. 

But  the  world  is  as  it  is.  When  he  compares 
figures  and  conditions  in  his  own  country  and  in 
this,  he  will,  one  hopes,  admit  that  our  medical 
men  must  be  given  the  palm  for  the  reduction  of 
infantile  death  rate. 

They  have  improved  the  health  of  the  race 
in  spite  of  tiemendous  obstacles  ;  Dr.  Truby  King 
is  improving  it  by  harnessing  his  knowledge  to 
the  chariot  of  a  beneficent  nature  ;  aided  by  social 
conditions  which  are  the  outcome  of  experience 
for  which  we  are  still  paying  the  price. 
L.  E.  Sherliker, 
Member,  Royal  British  Nurses'  Assoc. 

A     "NURSE'S    BADGE"    MISLEADINQ. 

To  the  Editor  oj  'UnEBmrisH  Journal  of  Nursing. 

Dear  Madam, — Since  writing  to  you  my  letter 
with  reference  to  the  badge  which  was  being  sold 
as  the  "  Nightingale  Badge,"  I  have  been  in  com- 
munication with  the  Nurses'  Outfitting  Associa- 
tion, Ltd.,  which  was  selling  it,  and,  as  the  result 
of  my  protest,  they  have  agreed  in  future  to  drop 
the  word  "  Nightingale  "  irom  the  title  of  the 
badge  and  to  call  it  in  future  the  "  Nurses' 
Badge,"  and  they  have  added  that  the  badge  has 
always  been  sold  simply  as  a  distinguishing  mark 
for  nurses  in  general. 

Whilst  it  is  doubtful  whether  any  nurse  can  be 
advised  to  wear  such  a  badge,  which  implies  no 
certificate  of  efficiency  but  might  be  interpreted  as 
carrying  that  certificate,  I  think  it  is  fair  to  the 
Nurses'  Outfitting  Association  to  mention  that 
they  have  met  the  objection  to  their  using  the  title 
"  Nightingale."     Yours  faithfully, 

W.  H.  Bon  HAM  Carter. 
Secretary  Nightingale  Training  School. 


July  20,  1918 


Hbe  Brttl0b  3ournal  of  Bureino. 


55 


WAS    IT    FAIR    TO    THE     SICK     NURSE? 

To  the  Editor  oj  The  British  Journal  of  Nursing. 

Madam, — On  a  recent  date,  the  Matron  of  a 
Nurses'  Home  in  London  called  at  a  Hospital 
seeking  advice  regarding  a  member  of  her  stalf, 
who  is  very  ill.  She  was  received  by  the  secretary 
of  the  hospital,  to  whom  the  details  of  the  case 
were  explained.  The  secretary  said  there  was 
no  bed  available  for  some  days,  and  in  any  case, 
the  only  suggestion  shi.  could  make  was  that  the 
pick  nurde  should  attend  at  the  out-patient  depart- 
ment on  Thursday  at  one  o'clock  (presumably 
with  other  casuals  !)  and  see  the  medical  officer 
then. 

Does  a  trained  nurse,  who  has  gone  under  in 
the  zealous  performance  of  her  duty  in  these 
strenuous  times,  not  merit  a  little  more  privacy 
and  delicacy  in  seeking  professional  advice  ? 
This  is  the  hospital  for  which  your  excellent 
Journal  asks  subscriptions  from  all  classes  of 
women  workers  to  perpetuate  the  undying  memory 
of  one  whom  all  professional  women  love,  and 
who  would  never  have  meted  out  such  casual 
.  courtesy  to  one  of  her  sisters. 

I  enclose  my  card,  and  remain, 

Another  Hard-working  Sister. 

[We  regret  to  hear  of  tins  treatment  of  a  sick 
nurse  at  a  Woman's  Hospital.  Our  expetience  at 
the  General  Hospitals  has  been  quite  otherwise. 
Sick  nurses  are  often  given  preference  before  the 
general  public,  and  leceive  ^-lie  very  best  of  care 
and  kindness.  Sometimes  we  have  asked  our- 
selves the  question  :  "  Are  medical  women  and 
women  hospital  offici.T.ls  as  sympathetic  towafvis 
nurses  as  men  ?  "  We  '='hould  be  pleased  to  heaf 
expert  opinion  on  this  point. — Ed.] 

HUMILIATINQ   HUiYlBUQ. 

To  the  Editor  oj  The  British  Journal  of  Nursing. 

Dear  Madam, — I  quite  agree  with  the  views 
expressed  re  "  Humiliating  Humbug,"  by  Beatrice 
Kent,  in  your  last  issue.  I  am  just  back  from 
France,  a  land  of  horror  and  sadness,  and  during 
my  absence  many  nursing  affairs  may  have 
changed.  I  do  not  krow,  but  one  thing  I  feel 
sure  about  is,  that  we  women  who  have  had  the 
honour  of  nursing  the  greatest  men  in  the  world, 
both  at  home  and  abroad,  do  not  want  patronage 
from  Miss  Asquith,  or  charities  such  as  the 
"  Nation's  Fund  for  Nurses." 

It  is  to  be  hoped  that  trained  nurses  will  wake 
up  soon  and  let  the  nation  know  who  and  what 
we    are   in   this   great   country   of   ours.     Then, 

perhaps.  Miss  Asquith  will  understand  and 

leave  us  alone. 

Yours  faithfully, 

F.  M.  B., 

B.E.F. 

Queen  Mary's  Hostel  for  Nurses. 

[The  whole  War  Charity  scheme  to  finance  the 
College  has  been  manoeuvred  during  the  absence 
of  the  flower  of  the  nursing  profession  on  active 
service.  No  Bill  should  be  hurriedly  passed  in 
their  absence.^ — Ed.] 


KERNELS     FROM     CORRESPONDENCE, 

"  A  Sister  of  Sixty  "  writes  :  "  Gambols, 
indeed.  I  want  no  idle  Society  women  gambolling 
on  my  behalf.  Has  not  the  Premier  made  a  most 
touching  appeal  to  every  woman  who  has  the 
great  gifts  of  youth  and  strength  to  go  on  the 
land  and  save  the  harvest.  He  says,  '  the  harvest 
is  in  danger,'  owing  to  lack  of  labour,  and  '  there 
is  not  a  moment  to  lose.'  Let  young  women 
gambol  amongst  the  hay-cocks  and  the  corn 
stooks,  and  later  on  let  them  plough  and  sow 
and  spread  manure.  Forty  years  ago  I  could 
have  given  them  a  lead.  If  the  Queen  would 
express  her  displeasure  with  the  waste  of  time 
by  Society  girls,  and  the  Royalties  refuse  to  give 
their  patronage  to  '  gambols,'  they  would  set  a 
popular  example  and  discourage  these  merry 
mumrners.  Anyway  I  protest  with  you  that 
the  nursing  profession  should  be  used  as  their 
excuse   for   frivolity   and   self-indulgence." 


"Australian  Sister  "  writes : — "As  you  advised,  I 
attended  the  mass  meeting  in  Trafalgar  Square  on 
Saturday,  in  support  of  interning  Huns  high  and 
low.  The  speeches  were  hot  and  strong,  but  it  is 
a  pity  the  men  and  women  who  governed  this 
country  for  ten  years  before  the  war  were  not  in  thfe 
crowd  to  heai  what  the  man  and  woman  in  the 
street  think  of  them.  '  Hang  the  lot,'  was  the 
import  of  their  suggestions — and  in  very  ugly 
language  with  plenty  of  groans.  I  was  surprised 
and  pleased  to  hear  calls  for  '  Hughes.'  '  Give  us 
Hughes  !  '  '  Hughes  is  the  man  !  '  '  Hughes 
would  soon  settle  their  hash  !  "  I  gathered  some 
high-placed  alien  had  to  do  with  court-martials. 
This  seemed  infuriating  to  the  boys  in  blue.  '  Just 
you  wait  till  the  boys  come  home  ;  they'll  soon 
hoof  out  the  Hun  and  the  men  who  have  kept 
him  in  office  !  '  One  and  all  of  the  crowd  spoke 
of  brioery  and  corruption,  and  to  hear  them 
swear  that  oath  proposed  by  the  Mayor  of  Bury- 
St.  Edmunds  did  one's  heart  good,  and  the  women 
were  as  deep-throated  as  the  men." 


REPLIES    TO    CORRESPONDENTS. 

Correspondent,  Wimbledon. — The  names  of  lady 
chemists  who  take  pupils  in  dispensing  can  be 
obtained  from  the  Secretary  of  the  Pharmaceutical 
Society,  17,  Bloomsbury  Square,  W.C.  At  the  close 
of  a  three  years'  apprenticeship  the  student  can 
enter  for  the  "  Minor  "  examination  of  the  Phar- 
maceutical Society,  the  passing  of  which  gives  the 
legal  right  to  dispense  and  sell  poisons,  and  to  use 
the  title  of  "  Chemist  and  Druggist  "  or  "  Phar- 
macist." 


OUR    PRIZE    COMPETITIONS. 

July  Z']th. — What  are  the  chief  racial  poisons  ? 
What  steps  should  be  taken  to  prevent  and 
counteract  their  effects  ? 

August  yd. — How  may  the  play  of  children  be 
directed  so  as  to  be  a  means  of  education  ? 


5^         ^be  :Britt0b  3ournal  of  Burelnc  Supplement.      My  ^o,  1918 


THe   Midwife. 


THE     MmWIVES    ACT    AMENDMENT 
BILL. 

On  July  9th,  in  the  House  of  Ijords,  the  Report 
of  Amendments  to  the  Midwives  Bill  was  received. 
The  district  councils  are  evidently  still  struggling 
to  retain  the  right  to  act  as  Local  Supervising 
Authorities.  It  will  be  remembered  that  in  Com- 
mittee the  following  Amendment  was  inserted  at 
the  instance  of  the  Marquess  of  Salisbury  as 
"  Clause  12  ":— 

"  Section  nine  of  the  principal  Act  (which  enables 
county  councils  to  delegate  their  powers  and  duties 
to  district  councils)  shall  be  repealed."  An  amend- 
ment to  this  Clause,  moved  by  Lord  Salisbury,  has 
now  been  adopted  which  materially  weakens  it  : — 
"  Provided  that  where,  at  the  commencement  of 
this  Act,  any  powers  or  duties  have  been  delegated, 
such  delegation  shall  not  be  afifected. "  To  this 
amendment,  on  the  third  reading  of  the  Bill  on 
July  i6th.  Viscount  Peel  moved  a  further  one  :^ 
"  Unless,  on  the  representation  of  the  County 
Council  concerned,  the  Local  Government  Board 
otherwise  direct." 

The  existing  cases  of  delegation  affected  by  this 
amendment  are  four. 

The  Bill  was  read  a  third  time  and  passed. 

THE    MATERNITY    AND    CHILD 
WELFARE    BILL. 

The  Maternity  and  Child  Welfare  Bill  was 
debated  at  length  in  Committee  in  the  House  of 
Commons  on  July  gth,  and  read  a  third  time  and 
passed  in  that  House  on  July  12th.  The  long  dis- 
cussion in  Committee  centred  mainly  round  the 
question  whether  the  powers  given  under  the  Act 
should  be  conferred  on  both  large  and  small 
authorities,  or  whether  it  was  desired  to  limit  the 
use  of  these  powers  to  boroughs  of  more  than 
50,000  population.  Eventually  it  was  decided  that 
the  County  Councils  in  England  and  Wales  exer- 
cising powers  under  this  Act  or  under  Section  two 
of  the  Notification  of  Births  (Extension)  Act,  1915, 
should  establish  maternity  and  child  welfare  com- 
mittees, and  may  delegate  to  such  committees,  with 
or  without  restrictions  or  conditions,  as  they  think 
fit,  any  of  the  powers  under  either  Act,  except  the 
power  of  raising  a  rate,  or  borrowing  money. 

EUGENICS. 

A  selection  of  striking  posters  shown  at  the  recent 
Baby  Week  Exhibition  at  Westminster  were  illus- 
trative of  inheritance  of  ability,  inheritance  of 
defect,  causes  of  infant  deaths,  insanity  in  the 
relation  to  heredity ;  also  of  the  various  aspects  of 
syphilis^as  the  result  of  heredity,  of  infection,  &c. 
^and  a  study  of  worthy  parentage. 


BABIES    OF    THE     EMPIRE. 

On  Tuesday  in  last  week  the  Right  Honble. 
W  F.  Massey,  P.O.  (Prime  Minister  of  New 
Zealand),  presided  at  the  opening  of  the  Babies 
of  the  Empire  Mothercraft  Training  Centre, 
29  and  31,  Trebovir  Road,  Eail's  Court,  S.W.  The 
Babies  of  the  Empire  Society,  of  whicli  Lord 
Plunket  is  Chairman,  and  Dr.  F.  Truby  King, 
C.M.G.,  Medical  Director,  has  its  headquarters  in 
the  General  Buildings,  Aldwych,  W.C.  2.  Its 
objects  are  (i)  To  uphold  the  Sacredness  of  the 
Body  and  the  Duty  of  Health  ;  (2)  To  acquire 
accurate  information  and  knowledge  on  matters 
affecting  the  health  of  Women  and  Children  ,  and 
to  disseminate  such  knowledge  ;  and  (3)  To  train 
specially,  and  to  employ  qualified  nurses,  whose 
duty  it  will  be  to  give  sound,  reliable  instruction, 
advice  and  assistance  on  matters  affecting  the 
health  and  well-being  of  women,  especially  during 
pregnancy  and  while  nursing  infants  .  .  .  with 
a  view  to  conserving  the  health  and  strength  of  the 
rising  generation,  and  rendering  both  mother  and 
offspring  hardy,  healthy,  and  resistive  to  disease  ; 
(4)  To  cc-operate  with  any  present  or  future 
organisations  which  are  working  lor  any  of  the 
foregoing  or  cognate  objects. 

At  the  Mothercraft  Training  Centre  the  main 
idea  is  to  give  a  sound,  simple,  thorough  grounding 
in  the  every-day  needs  of  home  and  nursing.  The 
desire  is  to  make  the  course  practical,  helpful, 
and  domestic,  to  encourage  and  stimulate 
commonsense  and  resourcefulness,  and  to  render 
the  knowledge  conveyed  as  interesting  and  as 
widely  applicable  and  adaptable  as  possible.  The 
Matron  is  Miss  A.  Pattrick,  and  the  Staff  Sister 
Mrs.  Cowey. 

The  Care  of  Mother  and  Child. 
Under  the  auspices  of  the  London  County 
Council,  which  is  the  Local  Supervising  Authority 
for  midwives  in  the  county,  Dr.  Truby  King  ir, 
giving  two  courses  of  lectures  on  the  Care  of  Mother 
and  Child  vnth  special  reference  to  the  work  of 
midwives,  one  at  Birkbeck  College,  Bream's 
Buildings,  Fetter  Lane,  E.C.,  the  next  lecture  being 
given  on  July  22nd  at  4  o'clock.,  and  the  other  at 
Morley  College,  Waterloo  Road,  S.E.  i,  where 
lectures  will  be  given  on  July  i8th  and  24th  at 
4  o'clock.  They  will  be  illustrated  by  Lantern 
Slides  and  Practical  Demonstrations. 


A  report  compiled  by  the  Local  Government 
Board  on  information  derived  from  German  sources 
shows  that  the  fall  in  the  birth-rate  in  Germany 
during  the  three  years,  1915-17,  was  equivalent  to 
the  loss  of  2,000,000  babies. 


THE 


OPiiMi 


No.  1,582. 


SATURDAY,   JULY   27,    1918. 


Vol.    LXI 


EDITORIAL. 


THE   ARMY  SCHOOL  OF    NURSINQ    IN   THE 
UNITED  STATES. 

Immediately  America  came  into  the  War 
the  leading  nursing  experts  were  on  the 
qui  vive  to  evolve  a  plan  which  would  meet 
the  needs  of  the  stricken  troops  and  provide 
tbem  with  trained  skilled  nursing.  These 
ladies  had  watched  with  intelligent  interest 
the  progress  of  military  nursing  in  Europe, 
and  in  its  disorganised  methods  found  little 
to  emulate  outside  the  Imperial  and  Terri- 
torial Nursing  Services.  Beyond  these  well- 
disciplined  Services — our  amateur  Red  Cross 
nursing  system — placing  the  skilled  work  of 
the  professional  worker  under  the  direction 
of  the  untrained  commandant — was  con- 
demned in  toto.  The  Nursing  Department 
of  the  American  Red  Cross  is  superintended 
at  Washington  by  an  experienced  Matron, 
Miss  Jane  A.  Delano,  R.N.,  who  has  had 
the  very  best  medical  and  nursing  support 
in  the  further  organization  of  her  depart- 
ment, and  after  the  appointment  of  Miss 
Annie  Goodrich,  R.N.,  as  Chief  Inspecting 
Nurse  of  the  Army  Hospitals  in  the  Surgeon- 
General's  Office,  Washington,  D.C  ,  Miss 
Delano  and  Miss  D.  E.  Thompson,  R.N.,  of 
the  Army  Nurse  Corps,  U.S.A.,  have  worked 
to  evolve  a  complete  system  of  nursing  for 
the  Army  in  the  field. 

At  the  recent  Convention  at  Cleveland, 
two  important  Papers  were  presented — 
one  by  Colonel  W.  H.  Smith,  which  repre- 
sents Miss  Goodrich's  plan,  the  other, 
entitled  "  A  Nursing  Crisis,"  by  Dr.  Gold- 
water,  which  advocated  the  employment 
of  nurses'  aides  as  they  have  been  trained 
for  the  past  three  or  four  years  through  the 
educational  committees  of  the  Red  Cross. 
Great  satisfaction  has  been  given  through- 
out the  American  nursing  world  by  the 
authorization,  by  the  Secretary  of  War 
upon  the  recommendation  by  the  Surgeon- 


General  of  the  Army,  of  the  establishment 
of  the  Army  School  of  Nursing,  evolved 
by  the  leading  Nursing  Superintendents  and 
supported  by  Colonel  W.  H.  Sniith. 

This  School  will  put  into  operation  a 
plan  whereby  the  sick  and  wounded  men  in 
military  hospitals  will  receive  care  through 
the  method  that  has  been  found  most 
effective  in  the  civil  hospitals.  The  course 
is  to  extend  over  a  period  of  three  years. 

The  military  hospitals  will  provide  experi- 
ence in  surgical  nursing,  including  ortho- 
pedic, eye,  ear,  nose,  and  throat ;  medical^ 
including  communicable,  nervous,  and 
mental  disease.  Experience  in  the  dis- 
eases of  children,  gynecology,  obstetrics, 
and  public  health  nursing  will  be  provided 
through  affiliations  in  the  second  or  third 
year  course. 

Lectures,  recitations,  and  laboratory 
work,  will  be  given  in  the  required  subjects, 
each  hospital  assigned  as  a  training  camp 
having  its  staff  of  lecturers,  instructors,  and 
supervisors,  and  teaching  equipment.  To 
be  eligible  for  the  Army  School  of  Nursing 
candidates  must  be  between  2i  and  35 
years  of  age,  in  good  physical  condition, 
and  of  good  moral  character.  They  must 
be  graduates  of  recognised  high  schools  or 
present  evidence  of  an  educational  equip- 
ment. Credit  of  nine  months,  or  approxi- 
mately an  academic  year,  will  be  given  to 
graduates  of  accredited  colleges.  No  tuition 
fee  is  required. 

In  many  of  the  military  hospitals  are  to 
be  found  men  and  women  prominent  in  the 
medical  and  nursing  world  through  whom 
the  School  is  assured  of  a  strong  faculty, 
and  the  following  advisory  council  appointed 
to  advise  concerning  the  general  policy 
assures  its  success  :— 

Colonel  W.  H.  Smith,  chairman  ;  Colonel 
C.  L.  Furbush ;  Colonel  W.  T.  Longcope  ; 
Miss  M.  Adelaide  Nutting;  Miss  Lilian  D. 
Wald  ;  Miss  Anna  C.  Maxwell ;  Miss  Dora 


58 


Zbc  Brlttab  3ournal  of  •Rurelng. 


July  2j,   1918 


E.  Thompson,  the  Superintendent  of  the 
Army  Nurse  Corps  ;  Miss  Lenah  S.  Higbee, 
the  Superintendent  of  the  Navy  Nurse 
Corps  ;  Miss  Jane  A.  Delano,  the  Director 
of  the  Department  of  Nursing,  American 
Red  Cross  ;  the  President  of  the  American 
Nurses'  Association ;  the  President  of  the 
National  League  of  Nursing  Education  ; 
the  President  of  the  National  Organization 
of  Public  Health  Nursing;  and  the  Dean  of 
the  Army  School  of  Nursing. 

We  congratulate  the  Surgeon-General  on 
calling  to  his  aid  the  representatives  of  all 
the  leading  Nurses'  Organizations  in  the 
United  States.  Brains  and  Patriotism  count 
some  in  America  ! 

FOR  DAUNTLESS  FRANCE.* 

(Concluded  from  page  43.) 


THE    RECORD. 

"  Tne  Record "  (Part  II  of  Mr  Laurence 
Biuyon's  book)  deals  with  the  Convoys,  the 
Hospitals,  the  Canteens,  and  Relief  Work  in  the 
Devastated  Zones. 

The  Convoys. 

It  became  known  in  England  in  the  early  months 
of  the  war  that  more  ambulances  for  the  wounded 
were  urgently  required  for  the  French  Army's 
unprecedented  needs.  The  Automobile  Associa- 
tion at  once  appealed  to  their  members  to  provide 
touring  cars  which  might  be  converted  into 
ambulance  cars.  As  a  result  250  cars  were  ofEered 
and  about  200  were  found  suitable  for  conversion 
and  shipped  to  France,  and  a  large  number  who 
could  not  provide  cars  subscribed  over  ;^6,ooo. 
Of  one  mobile  unit  we  read  :  ' '  The  devoted  work 
of  the  unit  was  warmly  appreciated,  not  only  tor 
the  '  swiftness  and  comfort,'  with  which  the 
wounded  were  carried,  but  for  the  '  spontaneity 
and  warmth '  of  the  English  offers  of  aid.  A 
French  Army  doctor  wrote  to  thank  the  unit's 
commander  for  the  '  precious  help  '  it  had  given. 
The  British  ambulances  had  transported  more 
than  one  hundred  and  fifty  wounded  to  Amiens 
and  to  Doullens  in  three  days.  '  By  this  action,' 
the  doctor  wrote,  '  you  have  greatly  relieved  our 
own  convoys  and  secured  a  very  swift  and  con- 
tinuous evacuation  for  the  severely  wounded, 
some  of  whom,  I  do  not  scruple  tc  say,^  will  owe 
their  recovery  to  you.'  " 

Amongst  the  ambulances  which  have  done 
excellent  work  are  those  sent  out  by  members  of 
the  Society  of  Friends,  who  were  determined  to 
serve  their  fellowmen  in  the  struggle  though 
resolved  also  not  to  be  combatants.     Tne  pioneers 

•  By  Laurence  Binyon.  Hodder  &  Stoughton, 
St.  Paul's  House,  Warwick  Square,  London,  E.C.4. 
los.  6d.  net. 


of  the  unit  chose  tor  their  motto  "  Search  for  the 
work  that  no  one  is  doing  ;  take  it,  and  regularise 
it  later  if  you  can." 

Section  3  of  the  British  Ambulance  Committee 
has  always  been  attached  to  a  division  in  the 
Vosges.  "  The  Germans  were  continually  trying 
to  block  the  mountain  road  by  which  supplies 
came  up,  and  by  which  Section  3  carried  down  the 
wounded,  by  bursting  huge  shells  upon  it.  .  .  .  At 
one  of  the  corners  on  the  zigzag  bends,  directly 
under  the  fire  of  the  German  snipers,  one  man  of 
Section  3  was  killed  and  several  mere  were 
wounded.  To  prevent  repair  the  Germans  con- 
stantly burst  shrapnel  over  the  road.  But  in  spite 
of  everything  the  wounded  were  all  brought  down 
safely.  And  when  one  remembers  how  they  were 
formerly  carried  in  springless  carts,  taking  thirty 
hours  to  do  what  a  motor  ambulance  accomplished 
in  two  or  less,  it  is  easy  to  imagine  the  incalculable 
value  of  an  efficient  service  of  automobiles.  The 
protracted  anguish  of  the  long  ride,  with  the 
constant  result  of  septic  poisoning,  ended  fre- 
quently in  the  loss  of  lives  which  are  now  saved  bx 
speed." 

A  service  of  motor-cycle  side  cars  used  for  trans- 
porting the  wounded  over  tracks  where  the 
ambulances  could  net  run  have,  we  are  told, 
perhaps  saved  more  lives  than  even  the  motor 
ambulances.  They  are  able  to  gi  over  the  steepest 
and  roughest  roads,  and  the  Alpine  posts  or  field 
hospitals  on  the  Vosges  front  are  now  all  served  by 
them. 

In  transporting  wounded  from  Verdun,  Section 
17  found  that  for  men  in  a  state  of  exhaustion,  as 
they  often  were  when  they  came  down  from  the 
trenches,  to  travel  some  tharty  miles  in  the  lorries 
over  rough  roads  without  any  food  was  to  run  the 
risk  of  an  utter  collapse.  It  therefore  started  a 
soup  kitchen  which,  until  it  was  no  longer  required, 
was  kept  going  night  and  day.  Seventeen  thou- 
sand bowls  of  soup  were  given  out,  and  the  timely 
refreshment  made  a  great  difference  to  the 
wounded  and  worn-out  soldiers — in  some  cases, 
perhaps,  the  difference  between  life  and  death. 

In  the  battle  before  the  Cote  de  Poivre,  Section  i 
won  the  Croix  de  Guerre  for  the  convoy,  and 
Section  2  (which  had  had  four  of  its  men  wounded 
at  Verdun)  received  eight  Croix  de  Guerre  for 
individual  members,  and  one  M^daille  Militaire. 

We  can  only  mention  the  convoy  work  of  two 
groups  of  Englishwomen — the  First  Aid  Nursing 
Yeomanry  Corps  (members  of  whict  have  recently 
won  distinction  for  courage  and  sang  Jroid  under 
fire),  and  the  Hackett-Lowther  Unit  who  draw 
soldiers'  rations,  and  form  a  military  unit  like  the 
sections    which   have   been    described. 

The  Hospitals. 
A  Section  is  devoted  to  the  hospitals  and  the 
supply  depots,  for  the  Comite  Britannique — 
besides  sending  supplies  on  its  own  account — 
forwards  every  day  consignments  cf  supplies  of 
all  kinds  needed  by  the  hospitals — ^the  purely 
French  as  well  as  the  Anglo-French.  These 
supplies  come  to  the  Comit6,  not  only  from  all  parts 


July  27,   1918 


Zbc  Britieb  3ournal  of  IRurstng. 


59 


of  the  United  Kingdom,  but  from  Canada,  Aus- 
tralia, New  Zealand,  South  Africa,  India,  Ceylon, 
Singapore,  Trinidad,  Mauritius,  Newfoundland, 
Malta,   Gibraltar,   and  elsewhere. 

Tiie  French  War  Em:>rgency  Fund,  the  head- 
quarters of  which  are  at  44,  Lowndes  Square, 
London,  has  an  admirable  system  of  ascertaining 
the  needs  of  the  hospitals.  A  group  of  ladies 
in  the  provinces  of  France,  with  a  supply  of 
motor  cars  at  their  disposal  and  chosen  for  their 
knowledge  of  the  French  language  and  French 
ways,  have  a  headquarters  at  some  central  point 
cf  the  region  they  serve.  Each  of  these  delegates 
visits  all  the  hospitals  in  her  region,  interviews 
the  Medecin-chef,  the  heads  of  the  Pharmacie 
and  tne  Lingerie,  and  talks  to  the  nurses  ;  she 
is  thus  able  not  only  to  bring  away  a  precise 
list  of  what  each  hospital  requires,  but  to  form 
an  independent  opinion  of  its  merits  as  well  as 
its  needs.  The  lists  of  requirements  are  sub- 
mitted to  a  special  committee  at  Lowndes  Square  ; 
and  if  the  committee  is  satisfied  that  the  need 
is  real  and  urgent,  precisely  those  things  are 
packed   and  despatched  forthwith. 

For  "  Tne  Story  of  the  Hospitals  "  in  detail 
we  must  refer  our  readers  to  the  book  itself. 
We  would  fain  quote  from  it,  but  pressure  on  our 
space  forbids,  and  many  of  the  details  have  from 
time  to  time  been  already  related  in  this  Journal 

The  Day  of  an  Orderly. 

A  most  interesting  chapter  is  that  on  "  The 
Day  of  an  Orderly."  We  commend  it  to  Matrons 
and  Sisters.  They  may,  perhaps,  see  the  vocation 
of  ordeilyfroma  different  view  point  henceforth. 

One  of  the  duties  of  the  orderlies  is  to  take 
stretchers  to  the  wards  and  carry  the  patients 
to   the   operating   theatre.     The   orderly  writes  : 

"  Forty-eight  hours  ago,  perhaps,  or  less, 
this  man  was  lying  out  on  the  churned  and  shat- 
tered slopes  of  the  Mort  Homme  or  Cote  304.  .  .  . 
I  marvel  at  their  fortitude  and  elasticity.  .  .  . 
The  men  we  are  getting  now  are  mostly  Terri- 
torials, between  thirty  and  forty  in  age,  who 
have  been  flung  into  the  furnace  of  Verdun. 
And  splendidly  have  they  quitted  themselves. 
These  solid,  sunburnt,  quiet  men — no  light  weight 
on  a  stretcher — seem  to  belong  to  the  very  core  of 
the  nation  which  so  indomitably  and  tenaciously 
is  holding  the  gate  of  Fiance  against  the  colossal 
blows  of  the  German  armies.  They  are  taciturn, 
with  gentle  voices  ;  but  they  will  stand  to  the 
last  for  '  all  they  have  and  are  '  ;  they  will  flinch 
from  nj  suffering  or  calamity  to  save  their  beloved 
country.  It  is  for  them  mere  matter  of  course  ; 
yet  they  hate  the  war.  .  .  . 

"  Almost  all,  as  soon  as  they  are  under  the 
anaesthetic,  go  back  to  the  battlefield ;  and  you 
will  hear  sometimes  the  yell  of  the  charge — 
'  Courage,  les  gars  !  En  avant,  la  baionette  !  ' — 
and  the  soldiers,  hearing  the  cry  ring  out  through 
the  window,  will  listen  with  2  kind  of  fascination. 
'  That's  just  how  it  is  when  we  attack.'j  they 
will  say.'  " 


The  orderly  thus  concludes  a  modest  and  most 
interesting  record :  "  Having  set  down  these 
common  tasks  which  make  up  the  crdorly's  day, 
I  feel  half  ashamed  at  proffering  so  trivial  a 
recoid,  when  the  real  work  of  the  hospital,  the 
work  of  the  doctors  ana  nurses,  who  have  not  only 
hard  labcurs  to  perform  with  their  trained  skill, 
but  endless  anxious  responsibilities,  is  the  story 
that  ought  to  be  t'jld.  Alas  !  I  have  not  the 
knowledge  for  the  telling  of  it ;  I  have  only 
boundless  honour  and  admiration  for  them  and 
their  wonderful  work.  We  ordeilies  have  glimpses 
only  of  what  that  work  means,  what  lives  it  saves, 
what  suffering  it  alleviates.  We  see  rather  the 
human  side  ;  yet  that  is  my  excuse  for  these 
pages,  since  I  hope  they  may  reflect  something 
of  the  qualities  of  the  Poilu  whom  we  love,  as  we 
have  learnt  to  know  him  in  his  hour  of  trial  and 
suffering  ;  gentle  in  speech,  courteous  in  bearing, 
constant  in  fortitude,  fervent  in  the  faith  of  his 
country's    cause." 

The  Canteens. 

A  very  important  and  valuable  branch  of  the 
Red  Cross  work  done  by  the  Bn'tish  for  the  trench 
wounded  is  that  of  the  canteens.  Qiite  eaily 
in  the  war,  we  are  told,  ap  organization  for 
providing  canteens  for  the  refreshment  of  the 
sick  and  tired  soldiers  was  set  on  foot  in  Paris 
by  a  patriotic  Frenchman,  called  '  L'OEuvre  de  la 
Goutte  de  Cafe.'  It  was  on  a  small  scale  on 
account  of  the  limited  funds  available  ;  but  the 
first  canteens  which  it  started  were  so  greatly 
appreciated  and  so  obviously  needed  that  the 
founder  of  the  CEuvre  and  his  wife,  whose  hearts 
were  very  much  in  the  work- — looked  about  for 
means  to  extend  it."  The  Preside nte  of  the  Comite 
Britannique  was  appealed  to.  She  had  a  great 
desire  to  further  the  work  and  it  occurred  to  her 
that  here  was  at  once  an  outlet  for  the  enterprise 
and  enthusiasm  of  Englishwomen  who  wanted 
to  serve  France  in  some  way  and  yet  had  no 
sptcific  training  or  qualification,  and  a  golden 
occasion  for  furthering  the  friendship  of  the  two 
countries.  So  it  came  to  be  arranged,  by  mutual 
consent,  that  the  Comite  Britannique  should 
undertake  the  setting  up  of  additional  canteens, 
and  should  provide  their  personnel.  The  work 
they  have  done  has  been  invaluable. 

The  Algerian  Arabs,  we  are  -told,  especially 
appreciate  the  coffee,  as  most  of  them  keep  strictly 
to  their  religion  and  never  drink  the  wine  which 
is  served  out  in  the  barrack  rations.  The  most 
pathetic  men  are  the  Senegalese,  as  they  under- 
stand very  little  French,  and  seem  to  be  like  little 
children,  drawn  into  a  vortex  which  they  do  not 
understand.  Like  children,  though,  they  are 
made  very  happy  by  veiy  small  things. 

Elsewhere  in  the  book  the  story  is  recalled  of  a 
Senegalese  found  wandering  stark  naked  by  a 
corporal,  who  proceeded  to  arrest  him.  "  But  it 
is  all  right,  said  the  Senegalese,  "  we  have  had 
leave  to  go  out  in  mufti." 


6o 


Zrbc  Britleb  3ournal  of  IRurstn^. 


July  2j,  jgiS 


■i*i*ii.S^rf  Relief  Work. 
!  The  chapter  on  "  Relief  Work  in  the  Devastated 
Zones  "  is  concerned  chiefly  with  the  labours  of 
the  Society  of  Friends.  As  part  of  the  schemes 
for  providing  employment,  sewing  and  embroidery 
classes  have  been  started  and  materials  provided. 
One  mother  told  how  she  heard  her  daughters,  as 
they  sat  over  their  new  found  occupation,  singing 
for  the  first  time  since  the  war  began.  And  a 
child  of  seven  confided  gravely  :  "  Pour  les 
6raigr6s,  vous  savez,  c'est  d6solant ;  mais,  avec 
la  broderie,  on  s'ennuiera  moins." 

Impressions. 

Part  III  gives  us  a  series  of  impressions  from 
a  variety  of  points  of  view,  all  interesting.  In 
"  A  Thought  for  the  Future  "  we  read  :  "  France, 
like  other  nations,  has  experienced  what  the 
sinister  phrase-makers  of  Prussia  call  '  peaceful 
penetration.'  She  has  experienced  a  foreign 
infiltration,  professedly  friendly,  the  extent  and 
volume  of  which  she  never  suspected  till  suddenly, 
in  a  night,  she  wok©  to  find  those  myriad  dwellers 
in  her  cities  and  country  towns,  industrious  and 
ingratiating,  useful  and  well-behaved,  were  smiling 
thieves  of  her  secrets,  priers  into  her  resources 
and  her  weaknesses — ^returning  in  helmet  and 
uniform  as  swaggering  conqueiors  to  the  h^mes 
where  they  had  been  trusted  and  subservient, 
the  implements  of  a  patient  and  laborious 
perfidy." 

Part  IV  contains  a  statistical  index,  a  list 
of  war  hospital  supply  depots,  and  a  list  of  over 
7,000  British  subjects  who  have  gone  abroad  on 
Red  Cross  and  kindred  war  work  for  the  French 
up  to  December  31st,  1917.  An  admirable 
arrangement  is  that  names  are  not  mentioned  in 
the  text,  but  in  the  statistical  index  at  the  end 
of  the  book  full  credit  is  given  to  the  workers. 

The  literary  skill,  the  painstaking  research, 
and  the  sympathy  with  dauntless  France,  which 
go  to  the  making  of  this  book,  command  our  whole- 
hearted admiration  ;  and  we  offer  our  sincere 
congratulations  to  Mr.  Laurence  Binyon  on  his 
work.  The  charming  illustrations  add  to  its 
interest.     It  is  a  book  to  buy  and  treasure. 

E.   G.  F. 


THE    ROYAL    RED    CROSS, 


The  following  ladies  were  decorated  by  the 
King  at  Buckingham  Palace,  on  July  17th  : — 

THE    ROYAL    RED    CROSS. 

First  Class. 

Queen  Alexandra's  Imperial  Military  Nursing  Service. 
— Acting  Matron  Helena  Hartigan. 

Queen  Alexandra's  Military  Nursing  Service  for  India. 
— Lady  Superintendent  Clara  Cusins. 

Second  Class. 
Q.A.I.M.N.S.R. — Sister  Hilda  Connell,  Sister  Anne 
Dawe,  Sister  Rosina  Hook,  Sister  Helen  Paterson,  and 
Staff  Nurse  Christina  Gunn. 


T.F.N. S. — Matron  Alexandra  Connon,  Sister  Elsie 
Blackburn,  and  Sister  Anne  Musson. 

Civil  Nursing  Service. — Matron  Mary  Cort,  Matroo 
Helen  Crockwell,  Matron  Catherine  Davies,  Matron 
Elizabeth  Davies,  Matron  Edith  Williams,  Assistant 
Matron  Annie  Cottrell,  and  Sister  Ellen  Dean. 

British  Red  Cross  Society. — Matron  Anne  Campbell, 
Matron  Lottie  Darley,  Matron  Kate  Jones,  and  Sister 
Alicia  Cullinan. 

V.A.D. — Miss  Gwendolyn  Crawford,  Lady  Cros- 
FiELD,  Miss  Ethel  Crump,  Miss  Maud  Heathcote,  Miss 
Agnes  McDermott,  and  Mrs.  Edith  Marsden. 

Almeric  Paget  Military  Massage  Corps. — Sister 
Margery  Cook. 

Canadian  Army  Nursing  Service.— -Sister  Mary  All- 
wood,  Sister  Anna  Bruce,  Sister  Elizabeth  Campbell, 
Sister  Katherine  De  Vellefeuille,  Sister  Margaret 
Fearon,  Sister  Lillie  Galbraith,  Sister  Cicely  Galt, 
Sister  Alice  Grindlay,  Sister  Phylis  Guilbride,  Sister 
Alice  Hogarth,  Sister  Isabel  Holden,  Sister  Mary 
Hubbs,  Sister  Edith  Lumsden,  Sister  Jean  Lyall,  Sister 
Helena  MacCallum,  Sister  Mary  MacLeod,  Sister 
Theodora  McKiel,  Sister  Annie  McNicoL,  Sister  Martha 
Morton,  Sister  Mina  Mowat,  Sister  Cecil  Oatman, 
Sister  Mae  Prichard,  and  Sister  Mary  Quigley. 

Queen  Alexandra  received  the  Matrons  and 
Sisters  at  Marlborough  House  after  the  Investiture. 


'^'  The  King  has  been  pleased  to  award  the  Royal 
Red  Cross  to  the  undermention^ed  ladies,  in 
recognition  of  their  valuable  nursing  services  in 
connection  with  the  war. 

Se,cond  Class. 

Grimbly,  Miss  K.  A.,  Staff  Sister,  Coulsdon  and 
Parley  Mil.  Hospl.,  Purley ;  Grindlay,  Miss  A.  M., 
Nursing  Sister,  Can.  Nursing  Service,  West  Cliff  Can. 
Eye  and  Ear  Hospl.,  Folkestone;  Guilbride,  Mrs.  P., 
Nursing  Sister,  Can.  Nursing  Service,  No.  11  Can.  Gen. 
Hospl.,  Moore  Barracks,  Shorncliffe;  Gunn,  Miss  J., 
Sister  i/c,  Handsworth  Aux.   Hospl.,  Birmingham. 

Hacgar,  Miss  L.,  Nurse,  Broadwater  Hospl.,  Belstead 
Road,  Ipswich;  Hall-Houghton,  Miss  M.,  Sister, 
T.F.N. S.,  Bishop's  Knoll  Sec,  2nd  Southern  Gen. 
Hospl.,  Stoke  Bishop,  Bristol;  Harrower,  Miss  M.  I., 
Asst.  Matron,  Q.A.I.M.N.S.R.,  University  War  Hospl., 
Southampton;  Hatton,  Miss  K.,  Sister,  Weir  Red  Cross 
Hospl.,  Balham,  London  ;  Hayhurst,  Miss  A.,  Nursing 
Sister,  Can.  Nursing  Service,  No.  10  Canadian  Gen. 
Hospl.,  Brighton  ;  Heberden,  Miss  I.  M.,  Asst.  Matron, 
Great  Northern  Central  Hospl.,  Holloway  Road,  N.  ; 
Hemmens,  Miss  A.  A.,  Sister,  T.F.N.S.,  3rd  Western 
Gen.  Hospl.,  Cardiff;  Henderson,  Miss  F.  E.,  Sister, 
T.F.N. S.,  sth  Lond.  Gen.  Hospl.  (St.  Thomas's), 
Lambeth,  S.E.  i  ;  Henrici,  Miss  M.  L.,  Matron,  The 
Cottage,  Fleetwood  Road,  Southport ;  Henstock,  Miss 
H.,  Sister,  T.F.N. S.,  3rd  Northern  Gen.  Hospl.,  Shef- 
field; Hepherd,  Miss  M.  I.,  Nurse,  White  Cross  Mil. 
Hospl.,  Warrington;  Heyde,  Mrs.  E.,  Matron,  Bal- 
gowan  V.A.D.  Hospl.,  Beckenham ;  Hickling,  Miss 
C.  J.,  Matron,  Red  Cross  Hospl.,  Long  Eaton;  Hill, 
Miss  L.,  Asst.  Matron,  Q.A.I.M.N.S.R.,  Belmont 
Prisoners  of  War  Hospl.,  Sutton  ;  Hocknell,  Miss  E., 
Sister,  Q.A.I.M.N.S.R.,  Military  Isolation  Hospl., 
Aldershot ;  Hodge,  Mrs.  E.  C,  Matron,  Passmore 
Edwards  Hospl.,  Middlesex;  Hodges,  Miss  F.  M.,  Lady 
Supt.,  Baptist  School  Red  Cross  Hospl.,  Yeovil; 
Hogarth,  Miss  A.  G. ,  Nursing  Sister,  Can.  Nursing 
Service,  No.  16  Can.  Gen.  Hospl.,  Orpington,  Kent; 
Holden,  Miss  1.,  Nursing  Sister,  Can.  Nursing  Service, 
No.  13  Can.  Gen.  Hospl.,  Hastings;  Howard,  Miss  S., 


July  z'j,  1918 


Cbe  British  3ournaI  of  iRurstna. 


6x 


Sister,  Northern  War  Hospl.,  Duston,  Northampton; 
HuiJBS,  Miss  M.  B.,  Nursing  Sister,  Can.  Nursing 
Service,  Granville  Can.  Spec.  Haspl.,  Buxton;  Hughes, 
Mrs.  E.,  Sister,  Red  Cross  Hospl.,  Winchester  ;  Hughes, 
Miss  F.  G.,  Staff  Nurse  (A. /Sister),  Mil.  Hospl.,  Endell 
Street,  Long  Acre,  W.C.  2  ;  Hunt,  Miss  M.,  Matron, 
Welbeck  Abbey  Aux.  Hospl.,  Worksop,  Notts;  Huson, 
Miss  A.  R.,  Sister  i/c,  St.  John's  Relief  Hospl., 
Harrow;  Huston,  Miss  A.,  Nursing  Sister,  Can. 
Nursing  Service,  No.  4  Can.  Gen.  Hospital,  Basingstoke, 
Hants. 

Iffland,  Mrs.  M.,  Matron,  City  and  County  Infirmary, 
Londonderry;  Ind,  Miss  H.  P.,  Matron,  Gen.  Hospl., 
Stratford-on-Avon ;  Ingles,  Miss  A.  C,  Sister  i/c, 
N.Z.A.N.S.,  No.  I  N.Z.  Gen.  Hospl.  (Forest  Park  Sec- 
tion), Brockenhurst,  Hants ;  Inman,  Miss  G.,  Sister, 
Huddersfield  War  Hospl.  ;  Irwin,  Miss  K.  F.,  Matron, 
Red  Cross  Hospl.  for  Officers,  4,  Percival  Terrace, 
Brighton. 

Jack,  Miss  C,  Sister,  Q.A.I. M.N.S.R.,  ist  Birming- 
ham War  Hospl.,  Rednall ;  Jackson,  Miss  K.  P.,  Sister, 
Naunton  Park,  Cheltenham;  James,  Mrs.  A.,  Joint 
Commdt.,  Aberdare  and  Merthyr  Red  Cross  Hospl., 
Merthyr  ;  Johnson,  Miss  M.,  Matron,  Standswood  Aux. 
Hospl.,  Fawley,  Hants;  Johnston  {n&e  Walker),  Mrs. 
L.,  Sister,  T.F.N.S.,  E.  Leeds  War  Hospl.,  2nd  Northern 
Gen.  Hospl.  ;  Jones,  Miss  E.  C,  Matron,  Kingston, 
Surbiton,  and  District  Red  Cross  Hospl.,  London; 
Jones,  Mrs.  E.  R.  G.,  Commdt.,  Y.M.C.A.  Hospl., 
Swansea  ;  Jones,  Miss  M.  A.,  Sister,  Bethnal  Green  Mil. 
Hospl. 

Kaye,  Miss  A.,  Matron,  Loughborough  Gen.  Hospl., 
Leic ;  Kennedy,  Miss  M.  C,  Nursing  Sister,  Can. 
Nursing  Service,  No.  15  Can.  Gen.  Hospl.,  Taplow, 
Bucks;  KiDSON,  Miss  S.  E.  A.,  Matron,  St.  Luke's  War 
Hospl.,  Halifax;  Knapton,  Miss  E.  B.,  Matron,  School 
Hill  Aux.  Hospl.,  Lewes. 

i^o  be  continued.) 


FRENCH  FUQ  NURSING  CORPS. 


We  congratulate  the  Corps  on  the  honour- 
able recognition  of  the  Sisters  attached  to 
Ambulance  12/2. 

Mentioned  in  Despatches. 
The  following  Sisters  have  been  mentioned  in 
Despatches  "  for  courage  and  devotion  "  during 
the  retreat : — Sister  EUen  Bennett,  Sistei  Annie 
Mackinnon,  Sister  Dora  T.  Simpson,  Sister  Mary 
Richard,  Sister  Lucy  B.  Giles,  Sister  Annie  B. 
Banks,  and  Sister  Gladys  Hawthorne. 

Croix  de  Guerre. 
Sister  Annie  Mackinnon  has  been  decorated 
with  the  Croix  de  Guerre — which  makes  the  third 
Croix  awarded  to  members  of  the  Corps — Sister 
Hilda  Gill  and  Sister  Madeleine  JafEray  having 
been  decorated  in  19 17. 


A  member  of  12/2  Ambulance  writes  : — "  I 
know  you  will  be  pleased  to  hear  that  one  of  our 
Unit,  Sister  Mackinnon,  has  this  afternoon  been 
decorated  with  the  Croix  de  Guerre.  We  are  all 
delighted  that  one  of  our  number  hcis  received  so 
great  an  honour. 

"  It  was  a  great  surprise  to  all  of  us,  as  we  had 
heard  nothing  about  it  till  this  afternoon,  when 
we  were  called  to  the  hospital  where  the  Med. 


Principal  is,  and  learned  on  arrival  what  was  to 
take  place.  First  our  Med.  Chef  was  decorated 
with  the  Croix  de  Guerre,  then  Sister  Mackinnon, 
for  our  Unit,  a.nd  two  infirmi^res,  a  Dame  de  France 
and  an  American,  and  all  our  names  were  men- 
tioned to  the  General." 

THE    CITATIONS. 

Mrs.  Bedford  Fenwick,  as  Hon.  Superintendent 
of  the  Corps,  has  received  the  following  official 
notification  from  Le  M^decin  Inspecteur  Lasnet, 
Medecin  de  I'Arm^e,  approved  by  le  General 
Commandant  en  Chef,  notifying  the  award  of  the 
Croix  de  Guerre  to  Sister  Mackinnon,  together 
with  a  copy  of  the  Citation. 

Secteur  178.  Q.  G.  le  i4ljuillet,l  1918. 

Madame  la  Pr6sidente, — 

Je  me  permets  de  vous  addresser  ci-joint~le 
releve  des  citations  a  I'ordre  du  Service  de  Sante 
qui  viennent  d'Stres  accordees  aux  Dames  Infir- 
mi^res  de  votre  Societe  a  I'occasion  de  leur  d^voue- 
ment  et  de  leur  energie  pendant  les  penibles 
operations  du  repli  de  I'Aisne  du  27  Mai  au  5  Juin. 

Leur  attitude  a  ete  tr6s  belle  et  je  vous  suis 
reconnaissant  de  vouloir  bien  me  donner  des  co'la- 
boratnces,  de  pareille  valeur. 

Avec  les  felicitations  que  je  vous  presente  en 
cette  occasion,  je  vous  prie  de  vouloir  bien  agreer, 
Madame  la  Pr6sidenfe,  I'assurance  de  mes  senti- 
ments respectueux  et  tout  devoues. 

Lasnet. 

Citations 
A  I'ordre  du  Service  de  Sante  de  I'Armee  accordees 
au  personnel  des  Dames  InfirmiSres  de  la  Society 
"  French  Flag  Nursing  Corps." 

Miss  Mackinnon  Annie  (Ambulance-  12/2). — 
"  Infirmi^re  qui,  dans  les  circonstances  difficiles 
du  repli  de  I'ambulance,  sous  la  fusillade  ennemie, 
a  continue  a  soigner  malades  et  blesses  jusqu'4 
la  derni^re  minute,  avec  un  courage  et  un  sang- 
froid reraarquables,  conformant  ainsi  les  qualit6s 
que  tous  ses  chefs  lui  ont  reconnues  depuis  trois 
annees  qu'elle  se  d6voue  aux  soldats  frangais  (27- 
28  Mai)." 


Le  Medecin  Inspecteur  Lasnet  also  sends  a 
copy  of  the  Citation  of  Miss  Marion  Pill,  who  has 
also  been  decorated  with  the  Croix  de  Guerre : 

Miss  Pill  Marion  (Equipe  Chirurgicale  299/A). 
— "  L'^quipe  chirurgicale  299/A  compos^e  de  .  .    . 


"  Miss  Pill  Marion — 

"  A  eu  le  27  Mai,  au  poste  chirurgical  avanc6  de 

X oii  elle  fitait  detach6e,  une  attitude 

digne  des  plus  grands  eloges  prodiguant  ses  soins 
aux  blesses  sous  un  tir  de  barrage  extrSmement 
violent,  se  refusant  k  chercher  un  abri  et  contri- 
buant  pas  sa  belle  tenue  a  maintenir  le  calme 
parmi  le  personnel  et  les  blesses." 


the  British  Journal  of  Nursing  ofEers  warm 
congratulations  to  both  ladies. 


62 


^be  British  3ournal  of  IRurstng. 


July  27,  1918 


CARE    OF    THE    WOUNDED. 


The  MACKINNON  Hospital. 

When  Captain  Mackinnon,  of  the  London 
Scottish,  went  on  active  service  in  the  early  days 
of  the  war  his  wife  opened  their  house  at  46, 
Queen's  Gate  Terrace,  S.W.,  for  the  reception  of 
woimded  officers.  In  a  few  weeks'  time  Captain 
Mackinnon  was  amongst  those  who  fell  in  defence 
of  King  and  Empire,  and  of  the  freedom  of  the 
world,  and,  ever  since,  Mrs.  Mackinnon  has  main- 
tained their  house  as  an*  officers'  hospital  of 
twenty  beds.  1^ 

The  Sister-in-Charge  is\ Sister  Jones-Evans, 
trained  at  the  Salop 
Royal  Infirmary, 
Shrewsbury,  who  shares 
the  day  duty  w^ith  Sister 
Holland,  trained  in  the 
same  institution.  Sister 
Dixon  is  on  night  duty, 
and  seven  V.A.D.'s,  in- 
cluding two  of  Mrs 
Mackinnon's  sisters, 
complete  the  staff.  ^  f"-  < 

Most  comfortable  and 
restful  the  hospital 
seems  to  be.  On  the 
ground  floor  is  a  ward 
wliich  opens  into  a 
lounge.  The  walls,  grey 
in  colour,  tone  admir- 
ably with  the  pretty 
flowered  curtains,  and 
each  white  bed  has  an 
eider-down  covered  with 
bright  pink  silk,  the 
effect  of  which  is  char- 
ming, and  this  colour 
scheme  is  carried  out 
throughout  the  house. 
On  the  floor  above  the 
French  windows  of  the 
ward  open  on  to  a  wde 
balcony,  where  are  com- 
fortable chairs  in  which 
the  more  convalescent  patients  can 
enjoying  the  fresh  air. 
officers'  dining-room,  with 
has  been  arranged  beyond 


SISTER    JONES-EVANS. 


rest   while 
On  this  floor,  also,  is  the 
service   room,  which 
A  gas  stove  has  been 


installed,  and  a  sink  for  washing  up,  and  other 
conveniences  added  to  make  tbe  service  of  food 
as  easy  and  perfect  as  possible. 

On  the  floor  above  is  the  operating  theatre, 
which  is  fitted  very  completely  with  up-to-date 
fixtures,  appliances,  and  instruments. 

There  are  also  two  single  wards  used  for  cases 
requiring  special  attention  and  quiet,  or  for  such 
potentates  as  colonels,  who  like  a  room  to  them- 
selves. 

On  the  ground  floor,  at  the  back  of  the  house,  is  a 
room  used  by  the  nursing  staff ;  all  the  rest  are 
given  up  to  the  patients.     It  has  French  windows 


opening  on  to  a  small  garden,  a  fact  fully  appre- 
ciated by  the  three  months'  old  puppy — a  Clumber 
spaniel — whose  handsome  ears  dip,  to  their 
detriment,  into  the  saucer  of  tea  which  he  so 
appreciates. 

That  the  hospital  serves  the  purpose  for  which  it 
is  designed  is  amply  evinced  by  the  way  in  which 
departing  convalescents  express  the  hope  that  if 
they  are  again  returned  to  "  Blighty  "  for  treat- 
ment they  may  find  themselves  once  more  within 
its  hospitable  doors.  It  must  be  a  satisfaction 
to  their  hostess  that  its  work  is  so  appreciated. 

Food  for  the  mind  as  well  as  care  of  the  body 
is  a  great  need  of  our  wounded  and  convalescent 
soldiers,  and  the  excel- 
lent example  set  by  the 
Great  Northern  Central 
Hospital,  in  organizing 
a  series  of  lectures  for 
soldiers  warded  there, 
might  well  be  followed 
by  many  other  hospitals. 

"  Liberty." 

The  lecture  of  this 
series  for  Friday,  July 
1 2th,  was  given  by  Mr. 
Shadrach  Hicks,  Prin- 
cipal of  the  Shoreditch 
Technical  Institute.  Mr. 
Hicks  said  that  liberty 
was  orie  of  the  spiritual 
forces  which  had  moved 
men  to  noble  and  useful 
deeds  through  all  ages. 
He  said  that  it  was  a 
ver3'^sti  ongquality  inthe 
character  of  the  very 
earliest  inhabitants  of 
these  islands,  and  traced 
its  influence  upon  the 
history  and  develop- 
ment of  the  .  British 
people  from  the  early 
days  of  the  Witan  to 
the  present.  He  rightly 
drew  attention  to  the  great  Charter  of  1215,  and 
said  that  on  that  reck  had  been  built  not  only 
British  liberty,  but  also  that  of  the  Great 
American  Republic,  as  well  as  of  our  Dominions 
beyond  the  Seas. 

The  future  of  the  country  was  in  the  balance, 
and  liberty  in  its  widest  and  best  sense  would 
enable  the  people  to  produce  a  better  standard 
of  living  and  to  develop  personal  character 
and  the  material  resources  of  the  Empire  to  their 
fullest  extent.  The  men  expressed  their  grateful 
thanks  to  Mr.  Hicks,  who  promised  to  deal  on  a 
subsequent  date  with  a  similar  subject. 

Mr.  F.  Hammond,  F.R.I.B.A.,  delivered  the 
usual  weekly  lecture  in  the  Military  Annexe, 
on  Friday,  July  19th.  His  subject,  wnich  was 
illustrated  by  slides  kindly  lent  by  the  Ministry 


July  27,  igi8 


Zbc  Brtti9b  3ournal  of  flureing. 


63 


of  Pensions,  was  "  The  After-Care  of  Dischaiged 
Disabled  Soldiers  and  Sailors  " — a  national  ques- 
tion of  first  importance. 


IN    A    RUSSIAN    DISPENSARY. 


The  time  is  8  a.m.,  the  day  Friday,  the  market 
day  of  the  large  Russian  \illage  where  the  Enghsh 
doctor  and  nurse  are  in  sole  charge  of  a  district  of 
60,000  people ;  in  area  about  the  size  of  Wales. 
The  season  is  Avdnter,  consequently  the  outside 
temperature  is  well  below  zero,  and  inside,  thanks 
to  the  splendid  Russian  stoves,  of  a  warmth  and 
comfort  utterly  unknown  in  England,  where  we 
still  live  under  the  delusion  that  our  climate  is  a 
mild  one. 

The  nurse  looks  out  through  the  living-room 
■window  and  notices  that  already  a  long  string  of 
sledges  drawn  by  small,  shaggy  horses,  whose 
coats  are  white  with  hoar-frost,  are  waiting  outside 
the  dispensary.  IVIarket  day  is  our  busiest  time. 
Everyone,  sick  or  well,  who  comes  in  to  buy  and 
sell  makes  it  a  point  of  etiquette  to  go  and  see  the 
English  doctor  and  try  and  wheedle  from  him 
some  much-coveted  "  mas  "  (ointment)  or  "  kaple  " 
(drops),  while  we  shrewdly  suspect  that  our 
waiting  room  is  made  the  dumping  ground  for  the 
old  grannies  and  grandpas  whose  relatives  want 
to  get  rid  of  them  while  they  do  their  business 
elsewhere.  We  live  in  a  wooden  house,  sur- 
rounded by  blocks  of  buildings,  one  of  which  is 
our  hospital,  another  the  Aptek  or  dispensary. 
They  are  all  about  100  yards  from  the  house,  and 
it  is  necessary  to  put  on  high  felt  boots,  a  sheep- 
skin coat,  and  a  thick  shawl  over  one's,  cap  to  run 
even  that  short  distance  in  the  icy  cold. 

In  the  dispensary  there  is  already  a  crowd  of 
moujiks  similarly  clad.  The  Austrian  dispenser 
has  been  giving  out  tickets  in  rotation,  with  a 
sharp  eye  on  the  bright  boys  of  the  village,  who 
are  shrewd  enough  to  arrive  very  early  for  tickets 
and  then  sell  their  places  to  late-comers  at  a 
handsome  profit  ! 

The  doctor  and  nurse  by  now  have  picked  up 
sufficient  Russian  to  cope  with  the  patients  with- 
out an  interpreter,  and  enough  experience  to  tell, 
as  they  survey  the  crowd,  that,  as  usual,  they  fall 
into  three  classes — the  chronics,  the  certificate 
hunters  and  the  really  ill.  The  last-named  are  the 
smallest,  and,  in  the  eyes  of  the  other  patients,  the 
most  negligible  class.  The  Russian  peasants 
firmly  boheve  that  a  headache  of  30  years'  standing 
(and  they  will  tell  you  quite  seriously  that  they 
have  had  one  continuously  for  that  period)  is  far 
more  worthy  of  attention  than  a  hieh  fever  of  only 
three  days'  duration. 

But  let  us  begin  work,  and  see  some  typical 
instances  of  the  thoree  classes  for  ourselves.  A 
little  Polish  refugee  girl  named  Dunia  is  our  door- 
keeper, a  by  no  means  easy  post.  Directly  she 
unbolts  the  portal  that  separates  the  doctor's 
little  room  from  the  waiting-room  a  noise  rather 
like  a  menagerie  assails  our  ears,  and  the  call  of 


"  Number  One  "  is  a  signal  for  Nos.'  8,  19  and  40 
to  try  and  push  their  way  in.  Dunia  valiantly 
forces  them  back,  and  repeats  the  call  for  "  No.  i." 
This  time  No.  10 "  comes  forward  triumphantly, 
certain  that  he  will  be  entirely  acceptable. 
"  Where  is  No.  i  ?  "  repeats  our  handmaid  firmly. 
"  She  has  gone  out  to  the  market,  but  I  am  her 
uncle,  I  will  do  as  well ;  I  can  tell  you  all  about 
her,"  remarks  a  peasant  hopefully.  Much  surprised 
is  he  when  his  helpful  ofEer  is  refused  and  No.  2  is 
called.  Enter  No.  2  supporting  an  aged  grandma 
on  one  arm  and  in  the  other  carrying  a  stout 
infant,  two  children  clinging  to  the  skirts  of  her 
sheepskin  coat.  With  a  quick  sleight-of-hand 
movement  she  drops  one  ticket  into  the  bowl  placed 
for  the  purpose  and  faces  us  with  a  guileless  smile. 
"  Four  more  tickets,  please,"  says  the  doctor,  weU 
versed  by  now  in  the  wiles  by  which  many  a 
woman  has  endeavoured,  under  only  one  ticket, 
to  obtain  advice  and  medicine  for  an  entire  family, 
some  of  whom  were  not  even  present  !  "I  don't 
understand,"  replies  the  culprit  innocently.  But 
this  excuse  will  not  wash.  "  Well  thou  under- 
standest,  thou,"  retorts  the  stern  Dunia,  and  the 
protesting  family  retires  to  obtain  the  needful 
tickets  from  the  Austrian  dispenser.       g  T  W.     ! 


OUR   ROLL   OF    HONOUR. 

Djed. 
Ross,  S:ster  A.  J-,  Can.  Nursing  .Service. 


STAR    OF   MONS. 

Some  of  those  entitled  to  the  Star  of  Mons  have 
now  received  it,  as  well  as  the  ribbon  which  has 
already  been  widely  distributed,  so  we  may  hope, 
shortly,  to  see  nurses  wearing  this  much-coveted 
emblem. 


A  TRUE  TALE  WITH  A  MORAL. 

"  I  Could  111  Spare  It." 

District  Nurse  visiting  house  oj  very  poor  patient. 

Patient  (cheerfully)  :  "  Oh  !  nurse,  I've  given 
a  shilling  to  your  Fund." 

Nurse  (puzzled)  :  "My  Fund  !  WTiat  do  you 
mean,   ^frs.   Smith  ?". 

Patient :  "  Why  the  Fund  that  they  are  collect- 
ing for  the  nurses,  wot  you  will  have  some  of." 

Nurse  :  "  Oh  !  you  mean  the  Nation's  Fund 
for  Nurses,  I  expect.  No  ;  I  don't  approve  of  the 
way  that  it  is  raised  at  all.  I  shall  have  none 
of  it,  and  I  am  quite  sure  you  have  many  other 
things  to  do  with  your  money." 

Patient  (crestfallen)  :  "  Oh  !  nuise,  I  would 
never  have  given  to  it  if  I'd  'ave  known.  I  could 
do  very  well  with  that  shilling.  But  you've  been 
rare  and  good  to  me,  and  you  would  never  have 
anything  off  of  me,  and  I  thought  it  was  a  chanst 
to  give  you  somethin*.  But  I'd  never  have 
given  it  if  I  hadn't  have  ;thought  you'd  get  some 
of  it,  for  I  could  ill  spare  it." 


64 


Jlbc  British  Journal  of  TRureina. 


July  2j,  1918 


Ropal  Brltisl)  nurses'  Hssoclatlott* 


(Incorporated  Dp 


Ropal  Charter) 


THIS   SUPPLEMENT   BEING   THE    OFFICIAL    ORGAN    OF    THE    CORPORATION. 


LETTER  ACKNOWLEDGING  THE  CON= 
GRATULATIONS  OF  THE  MEMBERS 
OF  THE  ROYAL  BRITISH  NURSES' 
ASSOCIATION  ON  THE  OCCASION  OF 
THEIR  MAJESTIES'  SILVER  WEDDING. 


Buckingham  Palace, 

July  6th,  1918. 
Madam, — I  am  commanded  to  beg  Your 
Royal  Highness  to  be  so  good  as  to  convey  to 
the  Members  of  the  Royal  British  Nurses' 
Association,  of  which  Your  Royal  Highness  is 
President,  the  expression  of  the  sincere  thanks 
of  the  King  and  Queen  for  the  kind  message 
of  congratulation  and  good  wishes  on  Their 
Majesties'  Silver  Wedding,  communicated 
through  Your  Royal  Highness  on  behalf  of  the 
Members  and  also  in  the  name  of  the  Honorary 
Officers  of  the  Council. 

I  have  the  honour  to  be.  Madam, 

Your  Royal  Highness'  humble  and 
obedifent  servant, 

Stamfordham. 
H.R.H.  the  Princess  Christian. 

A  PROPOSED  CONFERENCE  ON 
PRESENT-DAY  NURSING  PROBLEMS. 


The  Council  of  the  Corporation  have  under 
consideration  arrangements  for  holding  a  Confer- 
ence in  the  autumn,  which  will  deal  chiefly  with 
the  problems  of  the  day  in  so  far  as  they  affect 
fully  qualified  nurses. 

ROYAL  BRITISH  NURSES' ASSOCIATION. 


It  has  been  suggested  that,  in  one  of  the  early 
issues  of  the  new  ofl&cial  organ  of  the  Association, 
a  very  brief  account  should  be  given  of 
the  oidinary  work  of  the  Corporation,  apart 
from  the  other  business — lectures,  meetings,  &c. 


which  it 'undertakes  from'time  tc  time.  Repeat- 
edly it  has  been  stated  by  the  promoters  of  the 
College  of  Nursing,  Ltd.,  that,  until  this  company 
wa;  founded,  there  was  no  organisation  of  nurses 
and  we  hear  references  frequently  to  the 
"  inspiration  "  which  led  to  its  foundation.  A 
short  scrutiny  of  its  activities  up  to  the  present 
will  serve  to  show  that,  apart  from  its  form  of 
incorporation  and  the  methods  adopted  to  finance 
it,  its  founders  ought  to  have  offered  their  "  grate- 
ful acknowledgments  "  to  those  of  the  R.B.N. A. 
so  far  a?  any  "  inspiration  "  or  imagination  is 
concerned.  As  a  matter  of  fact,  however,  the 
College  cannot  claim  to  be  one  of  the  nurses' 
organisations,  for  its  Council  is  representative 
only  of  the  employers  of  the  nurses,  so  that 
the  independent  working  nurses  have  no  voice 
in  the  management  of  the  company.  Under  the 
by-laws  of  the  R.B.N. A.  equal  representation  is 
given,  on  the  governing  body,  to  medical  men, 
to  matrons  and  to  the  working  nurses,  and 
therefore  it  is  the  fault  of  the,  nurr^e?  themselves 
if  they  do  not  take  their  share  in  the  management 
of  their  own  affairs  and  make  gocd  use  of  the 
powers  placed  in  their  hands  by  Royal  Charter. 
In  the  Council  and  Executive  Committee  no 
expression  of  opinion  is  given  more  courteous 
consideration  or  receives  more  ready  sympathy 
than  when  it  comes  from  ore  of  the  elected  nurses. 
The  Register. 
The  Association  has  kept  a  Register  of  Nurses 
since  1890,  ?nd  on  this  are  entered  full  particulars 
of  the  training  and  qualifications  of  those  whose 
name-:  are,  for  the  time  being,  irscribed  thereon. 
The  fee  for  registration  has  been  temporarily 
reduced  to  five  shillings  in  order  to  make  it  easily 
possible  for  all  fully-qualified  nurses  to  belong  to 
the  Association  and  to  use  the  Royal  Charter  for 
their  own  benefit,  and  that  of  their  lellow  workers. 

Membership. 
Duly  qualified  medical  men,  matrons  and 
".uperintendents  of  nurses  and  those  nurses  whose 
names  have  been  placed  on  the  Register  of  the 
Corporation  are  eligible  for  election  as  members 
of  the  Corporation.  In  accordance  with  By-law 
VIII,  the  annua)  subscription  is  five  shillings. 
For  life  membership  a  single  payment  of  two 
guineas  is  necessary. 


July  27,   1918 


^be  British  3ournal  of  IRurstUG. 


65 


Badge. 
We  give,  in  the  present  issue,  a  reproduction 
of  the  pretty  badge  worn  by  the  members  of  the 
Roj^al  British  Nurses'  Association.  That  of 
H.R.H.  the  President  is  of  gold,  while  past  and 
present  members  of  the  General  Council  wear  a 
silver  badge ;  the  ordinary  member's  badge  is  of 
bronze.     In  each  case  the  design  is  the  same. 

Diploma  in  Nursing. 

The  Corporation  grants  a  Diploma  in  Nursmg 
to  such  fully  qualified  nurses  as  pas?  a  higher 
examination  in  nursing.  '  The  Royal  British 
Nurses'  Association  is  the  only  organisation 
which  grants  this  honour,  and,  therefore,  it  takes 
precedence,  in  the  nursing  world,  as  an  educational 
and  academic  body  at  the  present  time. 
State  Registration. 

The  Association  is  a  constituent  part  of  the 
Central  Committee  for  the  State  Registra- 
tion of  Nurses  and  is  therefore  one  of 
those  societies  which  for  years  have  been  pro- 
moting the  Bill  for  State  Registration.  Through 
its  representation  on  that  Committee  the  powers 


THE   BADGE. 

and  prestige,  given  by  the  Royal  Charter,  are  used 
in  support  of  a  Bill  in  every  way  just  both  to  the 
public  and  the  nurses. 

Co-operation  between  the  Members. 

There  are  two  Private  Nurses'  Co-operations  in 
London  which  are  maintained  solely  for  Registeied 
Members  cf  the  Royal  British  Nurses'  Association  ; 
the  Members  of  those  societies  receive  the  full  fees 
charged  for  their  services  less  a  small  commission 
for  working  expenses.  The  Association  also  finds 
a  considerable  number  of  permanent  appointments 
for  its  members  throughout  the  yeai ,  and  in  regard 
to  this  it  often  has  the  co-operation  of  the  members 
themselves,  as  nurses  who  are  giving  up  their 
posts  frequently  put  those  responsible  for  appoint- 
ing their  successors  into  communication  with  the 
Secietary.  The  Australian  Branch  of  the  Asso- 
ciation also  has  a  flourishing  private  staff,  and 
Members  goirg  out  from  the  parent  Association 
frequently  find  employment  through  this. 
Benevolence. 

The  Helena  Benevolent  Fund  is  maintained  by 
the  nurses  for  their  fellow-members  in  times  of 


sickness  and  distress,  as  also  is  the  Princess 
Christian  Settlement  Home  for  Aged  Members  of 
the  Corporation.  Each  nurse  theie  has  a  pretty 
room  of  her  own  for  the  nominal  rent  of  4s.  4d. 
annually.  

ROYAL     RED     CROSS. 

We  learn  with  pleasure  that  the  Royal  Red 
Cross  has  been  awarded  to  Sister  Sarah  Ellen 
Howard  and  that  she  has  beer  commanded  to 
attend  at  Buckingham  Palace  on  the  31st  inst.  in 
order  to  receive  this.  Miss  Howard,  in  addition 
to  her  certificate  in  Gereral  Training,  holds  one 
in  Midwifery,  and  has  been  a  Member  since  1910. 
She  has  always  been  enthusiastic  in  her  efforts  to 
attain  to  the  highest  possible  standard  in  her 
professional  work  and  we  congratulate  her  warmly 
upon  this  well-earned  award.  j  . 

AN     APPRECIATION.3 

We  note  with  pleasure  that,  in  its  report  for 
1917,  the  Middlesex  Hospital  pays  a  well-earned 
tribute  to  Miss  Langridge,  an  early  Member  of  the 
Royal  British  Nurses'  Association.  The  report, 
in  placing  on  record  an  appreciation  of  her  twenty 
years'  work,  states  that  this  was  "  marked  by 
intense  devotion  to  the  patients  under  her  care 
and  all  her  actions  were  influenced  by  a  sincerity 
of  purpose  and  a  true  spirit  of  helpfulness  which 
brought  bodily  comfort  and  ease  of  mind  to  many 
who  turned  to  her  in  their  hour  of  trial.  She 
was,"  adds  the  report,  "  an  ideal  Sister  m  every 
sense  of  the  word." 

NOTICES    TO    THE    MEMBERS. 

Members  are  requested  to  return  all  books 
borrowed  from  the  Library  not  later  than  31st 
inst.,  and,  as  is  customary,  the  Library  will  be 
closed  during  the  month  of  August. 

The  Club  Room  at  10,  Orchard  Street  is  open  to 
Members  from  10  a.m.  until  4  p.m.  Various 
nursing,  medical  and  lay  periodicals  are  available 
for  the  use  of  Members  there,  but  they  cannot  be 
circulated  from  the  ofl&ce  by  post. 

Members  are  requested  to  send  at  once  to  the 
OfiS.ce  of  the  Corporation  notices  of  new  appoint- 
ments, changes  of  address,  &c.,  in  order  that  those 
may  be  inserted  on  the  Register  and  Membership 
Roll. 

Members  may  arrange  to  have  their  letters 
addressed  to  the  office  and  forwarded  to  them,  and 
those  residing  abroad  may,  by  special  arrange- 
ment with  the  Secretary,  use  the  telegraphic 
address  for  communicating  with  their  friends. 

Application  forms  for  Registration  and  Member- 
ship can  be  obtained  from  the  Secretary,  10, 
Orchard  Street,  Portman  Square,  W.  i. 

DONATIONS    RECEIVED. 

The  Honorary  Treasurer  acknowledges  with 
thanks  donations  from  the  following : — S.  W. 
Harrison,  Esq.  (per  Mrs.  Reikes),  £5  5s.  ;  Mrs. 
Charles  Hughes.  £5  ;  Mrs.  Martin,  £1  is.  ;  Mrs. 
Raikes,  £1  is.  ;  Miss  Hutton  (perM'ss  Cattell),  £l. 
(Signed)  Isabel  Macdonald, 

Secretary  to  the  Corporation. 


66 


^bc  Britieb  3ournal  of  'Wureing. 


July  27,   1918 


THE  SOCIETY  FOR  THE  STATE  REGIS- 
TRATION OF  TRAINED  NURSES. 


A  Meeting  cf  the  Executive  Committee  of  the 
Society  took  place  on  July  2nd  at  431,  Oxford 
Street,    W.     Mrs.    Bedford    Fenwick   presided. 

The  Sixth  and  Seventh  Drafts  of  the  Nurses' 
Registration  Bill  drafted  by  the  College  of  Nursing, 
Ltd.,  were  considered  clause  by  clause. 

The  Committee  recognised  that  the  firm  attitude 
of  the  Central  Committee  in  maintaining  the  vital 
principles  of  just  legislation  in  the  Nurses'  Regis- 
tration Bill  drafted  by  it  in  19 10,  has  apparently 
convinced  the  College  of  Nursing,  Ltd.,  that  no 
agreement  between  the  two  Bills  was  possible 
until  it  recognised  the  determination  of  the  State 
Registrationists  to  oppose  any  attempt  to  govern 
the  Nursing  Profession  without  adequate  repre- 
sentation. 

'.Ihus,  the  College  Council  (the  Nurses  have 
never  been  consulted  in  meeting  assembled)  has 
inserted  provisions  in  the  recent  drafts  of  its 
Bill  ; 

(i)  P'or  the  direct  representation  of  the  organised 
Nurses'  Societies  on  the  Provisional  Council  to 
frame  the  rules. 

(2)  For  the  security  of  representation  of  the 
Registered  Nurses  on  the  Permanent  Council. 

(3)  For  a  term  of  three  years'  trainmg  and 
examination  under  a  definite  curriculum  prescribed 
by  the  Council  after  the  three  years'  term  of  grace. 

(i.)  'f  he  Committee  objected  to  the  College  of 
Nursing,  Ltd.,  being  incorporated  in  the  Bill  under 
its  existing  Memorandum  and  Articles  of  Associa- 
tion and  empowered  to  govern  the  whole  Nursing 
Profession  in  the  United  Kingdom,  as  it  is  a  lay 
Corporation,  and  gives  undue  power  of  control 
to  the  Nurse- Training  Schools  over  registeied 
Nurses,  for  whom  they  are  not  financiallj^  respon- 
sible. The  Committee  cla'ms  for  the  Profession 
of  Nursing  an  independent  governing  Body  in  the 
General  Nursing  Council,  with  no  ultimate  power 
and  control  behind  it,  such  as  the  Bill  secures  for 
the  College  of  Js'ursing,  Ltd. 

(2)  The  Committee  also  strongly  deprecates 
the  undermining  of  the  status  of  the  General 
Register  of  three-years'  trained  general  nurses 
by  the  Clause  in  the  College  Bill,  providing  for 
the  institution  of  Supplementary  Registe^js  of 
Specialists  —  such  as  Children's  Nurses,  Fever 
Nurses,  Tuberculosis  Nurses,  Maternity  Nurses, 
tS:c. — as  such  registers  would  be  compiled  for 
the  benefit  of  institutions  and  employers,  and  not 
of  nurses  themselves,  who,  semi-trained,  would 
be  ii^eligible  for  promotion  to  the  best  work  and 
pay. 

(3)  The  Committee  also  took  exception  to 
preferential  treatment  for  nurses  on  the  register 
of  the  College  of  Nursing  when  a  Bill  becomes 
law.  It  agreed  that  all  trained  Nurses  should 
have  equal  rights  to  registration  during  the 
term  of  grace. 


The  Committee  intends  to  uphold  these  vital 
principles. 

The  Committee  received  A\ith  deep  regret  the 
resignation  of  Miss  Elinor  Pell-Smith,  who  had 
been  the  delegate  of  the  Roya.l  Infirmary  Leicester 
Nurses'  League  far  a  number  of  years. 

It  was  proposed  from  the  Chair  that  a  sincere 
vote  of  thanks  be  sei;t  to  Miss  Pell -Smith,  thanking 
her  for  her  very  valuable  services  during  the  long 
time  she  had  been  on  the  Committee,  and  ex- 
pressing the  regret  of  the  Committee  in  losing 
her  most  kind  help.  Triis  was  unai;imously 
agreed  to. 

Miss  Irene  Sunmer,  who  had  been  appointed 
to  represent  the  Royal  Infirmary  Leicester 
Nurses'  League,  was  present,  and  received  a 
cordial    welcome. 

New  members  were  elected. 

Margaret  Breay, 

Hon.  Secretary. 


LONDON  HOSPITAL  NURSES. 


Major  Chappie,  M.P.,  has  given  notice  in  the 
House  of  Commons  of  the  following  motion  : — 

"  That  the  system  carried  on  at  the  London 
Hospital,  under  which  nurses  are  taken  from 
their  training  in  the  wards  at  the  end  of  their 
second  year,  sent  out  to  attend  private  cases, 
paid  at  the  rate  of  13s.  per  week  while  they 
receive  £2  2s.,  the  hospital  appropriating  the 
difference  of  29s.  per  week  earned  by  them,  is 
adopted  by  no  other  great  hospital  in  Britain, 
gravely  interferes  with  the  professional  training 
in  the  wards  of  such  nurses  during  their  third 
and  most  important  year,  and  is  a  cruel 
exploitation  of  women  for  the  sake  of  pecuniary 
gain,  and  this  House  calls  upon  the  Govern- 
ment to  introduce  legislation  to  remedy  the 
abuse." 

Lord  Knutsford  has  again  written  to  the 
Times  denying  the  truth  of  Major  Chappie's 
statements,  and  Sir  Henry  Burdett  has  cast  his 
sucking  dove  attitude,  and  now  states  that 
Lord  Knutsford's  reply  to  his  letter  **  is  mere 
camouflage." 

But  whilst  these  well-known  exploiters  of  the 
nursing  profession  fly  at  one  another's  throats, 
the  nurses  themselves  either  remain  dumb,  or 
their  opinions  are  excluded  from  the  discussion 
as  usual. 

The  nursing  profession  at  large  are  some- 
what out  of  patience  with  London  Hospital 
nurses.  They  are  not  children,  and  it  is  time 
they  realised  that,  by  accepting  unjust  con- 
ditions, they  injure  their  colleagues  as  a  whole  : 
(i)  by  undermining  the  recognised  nursing 
standard  of  three  years'  training;  and  (2)  by 


July  27,  1918 


ZTbe  Biitisb  3ournal  of  IRursing. 


67 


themselves,  insufficiently  trained,  competing 
with  their  efficiently  trained  colleagues  in 
private  nursing  for  the  same  fees,  and  thus  sap- 
ping their  economic  status.  To  be  plain,  this 
conduct,  in  trade-union  parlance,  constitutes  the 
"blackleg,"  and  it  is  high  time  conscientious 
and  courageous  members  of  the  nursing  staff 
at  the  London  Hospital  made  it  plain  to  the 
Matron  and  Committee  that  they  can  no  longer 
tolerate  being  placed  in  such  an  invidious  posi- 
tion. It  is  now  upwards  of  a  quarter  of  a 
century  since  the  redoubtable  Miss  Yatman 
exposed  this  commercial  system  of  exploiting 
the  nurses'  training  and  earnings  at  the  London 
Hospital  before  a  Select  Committee  of  the 
House  of  Lords,  and  although  the  late  Lord 
Kimberley  described  it  as  "  almost  fraudulent," 
social  influence  has  been  p>ermitted  by  Parlia- 
ment to  continue  it  till  this  day.  London  Hos- 
pital Sisters  and  Nurses,  we  your  colleagues 
call  upon  you  to  come  out  and  purge  the  pro- 
fession of  the  abuses  to  which  you  have  so  long 
submitted — to  our  injury  as  well  as  your  own. 

The  medical  staff  also  might  give  a  helping 
hand. 


APPOINTMENTS. 


THE  COLLEGE  OF  NURSING  LTD ,    AND 
LONDON   HOSPITAL   STANDARDS. 

It  should  be  of  interest  to  nurse  members  of 
the  College  to  realise  that  in  defining  standards 
for  the  College  **  Register,"  a  special  clause 
was  inserted  to  include  London  Hospital 
nurses,  "  with  two  years^  training  and  two 
years'  service."  Thus  the  College  Council 
protects  the  commercial  interest  of  the  Hospital, 
as  against  that  of  its  exploited  probationers. 
As  the  whole  Council  is  comp>osed  of  hospital 
officials  (including  employers),  the  danger  of 
their  policy  in  this  instance  is  apparent. 

This  is  why  the  indep>endent  Nurses' 
Organizations  demand  an  independent  and 
representative  Governing  Body,  and  mean  to 
work  for  it. 

Many  of  their  members  feel  that  the  Matrons 
on  the  Council  have  failed  to  protect  their 
professional  interests. 

THE   SHEFFIELD  CENTRE. 

A  Centre  of  the  College  of  Nursing  is  beirg 
formed  in  Sheffield,  and  iMiss  Hancox,  of  tte 
Queen  Victoria  Nursing  Association,  Glossop  Road, 
Sheffield,  and  Miss  Bolton,  of  the  Jessop  Hospital, 
have  consented  to  act  as  Hon.  Secretaries. 

We  hope  these  ladies  have  read  the  Memorandum 
and  Articles  of  Association  of  the  College,  and  are 
prepared  to  have  them  eliminated  from  the  Bill. 
We  make  this  remark  because  we  have  never  yet 
met  a  nurse  member  who  has  seen  the  consti- 
tution to  whJoh  she  has  subscribed. 


NIGHT     SISTER. 

Bridge  of   Weir  Consumption    Sanatoria,  Scotland. 

— ^liss  Eleanor  Harvey  has  been  appointed 
Nignt  Sister.  She  was  trained  at  the  Leeds 
Township  Infirmary,  and  has  held  the  position  of 
StafE  Nurse  in  that  institution,  and  at  the  Leeds 
Sanatoiium,    Gateforth. 

SISTER. 

Tlie  Sanatorium,  Middlesborougb.  —  Miss  A. 
Lilley  has  been  appointed  Sister.  She  was  trained 
at  the  South  Shields  Borough  Hospital,  and  has 
beenvStaff  Nurse  at  Deans  Hospital  in  the  same 
place,  and  Night  Charge  Nurse  at  the  West  Lane 
Hospital,  Middlesborough. 

General  Hospital,  Nottingham. — ^Miss  J.  Morgan 
has  been  appointed  Oatpatient  Sister.  She  was 
trained  at  the  General  Hospital,  Wolverhampton, 
and  has  been  Night  Sister  at  the  General  Hospital, 
Weston-super-Mare,  and  Ward  Sister  and  Sister 
in  the  X-Ray  Department  at  the  Hospital, 
Rugby. 

HOUSEKEEPING    SISTER. 

General  Hospital,  Nottingham.  —  Miss  Edith 
Gethinghas  been  appointed  Housekeeping  Sister. 
She  was  trained  at  the  East  Suffolk  Hospital, 
Ips^\'ich,  where  she  has  held  the  position  cf  Out- 
patient Sister.  She  has  also  been  Night  Sister 
at  the  Royal  Gwent  Hospital,  Newport ;  and  had 
housekeeping  training  at  the  Norfolk  and  Norwich 
Hospital. 

QUEEN     VICTORIA'S    JUBILEE     INSTITUT^. 
Transfers  and  Appointments. 

Miss  Helena  Mathieson  is  appointed  to  Norfolk 
N.F.  as  Assist.  Co.  Superintendent ;  Miss  Ethel 
Daniells  to  High  Wycombe  ;  Miss  Constance  M. 
Deering  to  Hampstead  Garden  Suburb ;  Miss 
Margaret  Heritage  to  Chatham ;  Miss  Edith 
Matthews  to  Hampstead  ;  Miss  Edith  A.  Richard- 
son to  Brixton.     ' 


"THE   MECCA   OF   THE    THRIFTY." 

The  establishment  of  Thomas  Wallis  &  Co.,  Ltd., 
Holborn  Circus,  London,  E.C,  is  a  well-krown 
landmark  to  Londoners,  for  there  are  few  busses 
plying  on  the  main  route  from  the  City  tc  the 
West  End  which  do  not  draw  up  in  front  of  it. 
The  firm  have  for  many  years  been  contractors 
for  hospital  furnishing,  and  recently  they  were 
selected  to  furnish  the  Edith  Cavell  Home  for 
Nurses  at  the  London  Hospital.  It  has  also  an 
extensive  clientele  in  connection  with  its 
department  for  Nurses'  Uniforms  and  Oatfits ; 
and  the  reasonable  prices  which  prevail  have 
earned  for  it  the  sobriquet,  "  The  Mecca  of  the 
Thrifty." 

■  •  « 

Among  the  gifts  at  Queen  Mary's  Royal  Naval 
Hospital,  Southend,  was  a  cheque  for  ^loo  from 
Queen  Mary. 


68 


CDC  3Sritt6h  3ournal  of  Bursiufl. 


July  27,  1 9*1 8 


NURSING    ECH0ES. 


ihe  Council  of  yueen  Victorias  jubilee 
Institute  for  Aurses,  in  their  Report  lor  the 
year  191 7  to  the  l^atron,  iner  iviajesty  Queen 
Alexandra,  report  "  satisfactory  progress,  not- 
withstanding- the  extremely  airacult  conditions 
caused  by  the  war.  1  ne  chief  oevelopments 
have  again  been  in  connection  with  the  work  in 
country  districts  and  with  the  County  iNursing 
Associations  in  particular;  but  a  considerable 
increase  has  been  shown  in  the  number  of 
Associations  affiliating  with  the  desire  to 
employ  Queen's  Nurses;  and  no  doubt  the 
number  would  have  been  larger  had  it  not  been 
for  the  shortage  of  nurses.  At  the  end  of  the 
year,  592  Queen's  Nurses  were  on  leave  for 
service  in  connection  with  the  war,  and  the 
supply  of  candidates  for  training  shows  no 
improvement.  Every  effort  is  Deing  made 
to  secure  the  services  of  nurses  who  are 
not  required  for  war  nursing,  but  the  number 
of  these  available  is  small,  and  it  is  not  antici- 
pated that  there  will  be  any  great  increase  until 
the  war  ceases.  Steps  are  under  consideration 
to  organize  the  training  of  more  Queen's 
Nurses,  so  that  the  machinery  may  be  in  order 
when  nurses  are  set  free  from  War  Service. 

"  The  Local  Government  Board  has  again 
co-operated  with  the  Nursing  Associations,  by 
means  of  the  grants  given  for  midwifery  work, 
with  the  object  of  securing  the  provision  of  a 
satisfactory  service  of  midwives  for  country 
districts.  It  is  essential  that  there  should  be 
an  adequate  supply  of  well-trained  and  efficient, 
midwives  to  check  the  wastage  of  infant  life. 
.  .  .  These  nurses  can  also  act  as  school  nurses 
and  health  visitors." 


The  supply  of  efficient  midwives  is  most 
essential,  but  unless  they  are  trained  as  nurses, 
and  conform  to  the  standard  for  Queen's 
Nurses,  i.e.,  three  years'  general  and  six 
months'  district  training,  they  should  not,  in 
our  opinion,  be  enrolled  in  Nursing  Associa- 
tions with  the  prestige  of  the  Queen  Victoria's 
Jubilee  Institute  for  Nurses.  Their  work  is 
sufficiently  extensive  and  important  to  be 
organized  in  County  Midwifery  Associations, 
whether  under  the  authority  of  the  "  Queen's  " 
or  otherwise.  "  Village  nurse-mid  wives  "  have 
their  status  under  the  Midwives'  Act,  but  their 
nursing  is  an  amateur  and  unknown  quantity, 
and  the  suggestion  that  these  midwives  can  act 
as  school  nurses  is  not  one  which  can  be 
supported. 

It  is  disquieting  to  find  that  the  number  of 
"  Village  Nurses  "  employed  by  County  Nurs- 


ing Associations  affiliated  to  the  Institute  is 
1,327,  while  the  total  number  of  Queen's 
Nurses  in  England  on  December  31st,  1917, 
was  1,357,  including  Queen's  Nurses  who  are 
undertaking  duty  in  connection  with  the  war, 
of  whom  there  were  592  in  the  United  King- 
dom. The  total  number  of  Queen's  Nurses  in 
the  United  Kingdom  on  December  31st,  1917, 
was  2,056. 

There  have  been  two  new  features  in  the 
constitution  of  the  Council  appointed  by  Queen 
Alexandra  during  the  year.  For  the  first  time 
the  Superintendents  of  the  Training  Homes, 
and  the  Superintendents  of  the  County  Nursing 
Associations  have  each  been  allowed  to  appoint 
a  representative. 


Her  Royal  Highness  Princess  Louise  visited 
the  Kensington  Infirmary  on  Friday  last,  and 
expressed  her  warm  admiration  at  all  she  saw. 
The  Princess  was  received  by  the  Chairman, 
the  Chaplain,  and  the  Matron.  After  visiting 
the  beautiful  Church  of  St.  Elizabeth,  Her 
Royal  Highness  passed  through  the  wards,  and 
chatted  with  the  patients. 


The  "  At  Home "  to  meet  the  Colonial 
Matrons-in-Chief,  held  by  the  Society  of 
Women  Journalists  at  3-4,  Tudor  Street,  E.C., 
on  July  i8th,  was  a  great  success.  Mrs.  Baines 
and  Miss  Imandt  were  the  hostesses,  and 
together  with  the  President,  Miss  Billington, 
welcomed  the  guests.  Australia,  Canada,  New 
Zealand,  South  Africa,  and  the  United  States 
of  America  were  represented,  and  we  noticed 
all  sorts  of  interesting  people  present,  including 
leading  wx>men  journalists,  all  apparently 
warmly  interested  in  cementing  friendship  with 
our  overseas  nurses,  whilst  the  Matrons-in- 
Chief  expressed  the  opinion  that  "  it  does  us 
a  lot  of  good  to  come  into  touch  with  all  these 
bright  women — whose  sphere  of  w^rk  is  dif- 
ferent to  our  own.  We  are  apt  to  get  a  bit 
narrow  in  the  nursing  world."  We  are  bound 
to  admit  we  found  nothing  narrow  in  the  views 
of  our  overseas  Matrons,  who  one  and  all 
appear  inspired  not  only  with  professional  zeal, 
but  with  a  liberal  outlook  on  life. 


The  Asylums  and  Mental  Deficiency  Com- 
mittee of  the  London  County  Council  reported 
at  its  meeting  on  Tuesday  that  as  a  war 
measure  it  has  been  necessary  to  employ 
women  on  agricultural  and  farm  work  at  the 
mental  hospitals.  Some  nurses  have  been  so 
employed,  and  have  received  a  special  rate  of 
pay  while  doing  farm  work.  As  there  is  such 
difficulty   in  obtaining  nurses,   and  as   it  now 


July  27,   1918 


^be  Xritiab  3ournal  ot  Durema. 


69 


seems  possible  to  obtain  from  other  sources 
the  services  of  women  for  work  on  the  land,  the 
committee  think  it  undesirable  to  second  nurses 
wholly  for  farm  work,  and  have  directed  that 
they  shall  no  longer  be  so  employed. 


THE  PAPAL  SCHOOL  OF  NURSING. 


The  Committee  have  gfanted  extra  duty  pay 
to  a  large  number  of  members  of  the  nursing 
staff  at  the  Banstead  mental  hospital. 


The  Hon.  Albinia  Brodrick's  pamphlet,  "Pro- 
fessional Development  and  Organization,"  is 
on  sale,  price  2d.,  at  the  office  of  the  National 
Union  of  Trained  Nurses,  46,  Marsham  Street, 
London,  S.W.  i,  the  keynotes  of  which  are 
Democracy,  Comradeship,  Organization.  Every 
nurse  should  own  it,  study  it,  and  live  up  to  it. 


Miss  Grace  Ross  Cadell,  L.R.C.P., 
L.R.C.S.,  late  of  Edinburgh,  left  ;^i,C)Oo  to 
the  Queen's  Nurses  in  Scotland,  and  ;^3oo  to 
the  Leith  Branch  of  the  Queen's  Nurses — a 
legacy  which  will  bring  comfort  to  many  a  sick 
body. 

■    m   ■ 

LEGAL     MATTERS. 

A  case  involving  important  prmciples  was 
recently  brought  by  the  Norfolk  Nursing 
I'ederation,  in  regara  to  a  broken  agreement, 
the  defenaant  bemg  Miss  Kose  Snellmg,  of 
20,  Junction  Road,  Aorwich. 

Mr.  F.  A.  bainbndge  said  the  Federation 
was  a  charitable  institution,  to  obtain  suitable 
candidates  and  train  them  as  village  nurses. 
The  vice-presidents  were  ladies  and  gentlemen 
of  leading  position  and  standing  in  Norfolk. 
There  were  two  agreements,  one  for  training 
at  Plaistow,  under  which  ;£2^  os.  iid.  was 
claimed  for  non-fulfilment.  Under  the  second 
the  defendant  was  "  to  become  a  trained  nurse 
at  the  Norwich  Isolation  Hospital,"  but  left 
before  completing  her  training. 

The  judge  held  that  the  first  agreement  could 
not  stand.  It  was  superseded  by  the  second. 
In  this  he  gave  judgment  for  30s. 

The  necessity  for  the  statutory  definition  of 
a  standard  of  what  constitutes  a  trained  nurse 
is  manifest  in  this  case.  Certainly  training  at 
Plaistow — for  the  most  part  in  district  mid- 
wifery— and  in  a  fever  hospital,  does  not  do  so. 
*^  Ladies  and  gentlemen  of  leading  position  " 
would  do  well  to  refrain  from  interfering  with 
the  economic  and  professional  standards  of 
■candidates  for  a  skilled  profession,  unless 
they  are  prepared  to  enforce  a  just  standard  of 
training,  which  qualifies  the  nurses  for  their 
resp>onsible  duties,  and  enables  them  to  com- 
pete with  others  in  the  open  market. 


VVe  quote  the  following  interesting  article 
on  the  Papal  Nursing  School  from  The 
Universe  of  a  recent  issue.  1  he  training  of  nuns 
in  the  science,  in  conjunction  with  the  practice, 
of  nursing,  is  one  of  the  most  progressive  and 
necessary  reforms  amongst  Religious  Orders. 
We  know  how  in  the  past  the  good  Sisters  in 
hospitals  have  excelled  in  the  care  of  the 
cuisine  and  the  linen ;  for  the  future  every 
facility  should  be  provided  for  them  to  care 
intelligently  for  the  body  in  health  and  disease. 

"  Ihe  autumn  and  winter  course  of  training 
for  outside  pupils  at  the  Papal  School  of 
Nursing,  our  Rome  correspondent  writes,  has 
come  to  its  conclusion  with  the  examinations 
at  the  end  of  Lent,  and  after  Holy  Week  the 
Spring  course  opens.  The  existence  of  this 
school  is  still  unknown  to  the  majority  of 
Catholics,  yet  its  institution  ranks  easily  among 
the  greatest  works  of  Pius  X's  Pontificate.  As 
the  founder  and  organiser  of  the  school  said 
to  me  on  the  morning  when  she  was  kind 
enough  to  take  me  over  it :  '  How  many  people 
are  aware  of  the  fact  that  His  Holiness  Pius  X 
collected  the  Statutes  and  Constitutions  of 
every^  religious  nursing  Order  in  the  Church,  in 
order  to  study  the  best  means  of  providing 
facilities  for  their  members  to  follow  a  modern 
training  and  pass  up-to-date  examinations 
while  yet  living  in  accordance  with  their  rule, 
and  that  the  record  of  this  research  is  filed  in 
the  secret  archives  of  the  Congregation  of 
Religious?  ' 

This  is  briefly  the  history  of  the  school.  In 
1904  (during  the  first  year  of  Pius  X  Pontifi- 
cate) a  certain  French  lady,  who  had  devoted 
her  life  to  hospital  organisation  in  her  own 
country  and  had  just  completed  the  foundation 
and  equipment  of  the  Hopital  St.  Joseph  in 
Paris,  was  paying  her  annual  visit  to  Rome. 
In  a  private  audience  she  asked  a  blessing  on 
her  work,  of  which  she  gave  an  account  to  His 
Holiness.  The  Holy  Father,  after  enquiring 
into  every  detail,  asked  her  to  stay  in  Rome 
and  take  charge  of  a  training  school  he  wished 
to  organise,  in  which  members  of  religious 
Orders  could  obtain  an  up-to-date  training  in 
the  right  spiritual  conditions.  This  she  was 
unable  to  do,  but  she  promised  to  return  the 
following  year,  when  she  would  have  finished 
the  work  she  was  engaged  on  in  France.  She 
was  true  to  her  word,  and  in  1906  the  school 
was  opened  on  a  very  modest  scale  in  tem- 
porary quarters  in  the  PratL  It  grew  and 
prospered,  and  in  1912,  funds  being  assured, 
its  own  building  was  begun  under  the  shadow 


70 


JLbc  Xritt0D  3ourtuil  of  Vlurdina* 


July  27,  1918 


of  St.  Peter's  next  to  but  independent  of  the 
Hospital  of  Sta.  Marta.  The  outbreak  of  the 
war  has  temporarily  suspended  the  progress  of 
fitting  up  the  building,  as  the  quarters  which 
were  destined  to  the  '  in  patients  '  have  been 
handed  over  to  the  *  Cross  of  Malta  '  for 
wounded  soldiers,  but  the  work  of  the  dis- 
pensary is  in  full  swing.  There  is  a  resident 
staff  of  trained  nurses  in  charge,  working 
under  some  of  the  best  doctors  here,  and 
already  representatives  of  twenty-seven  dif- 
ferent nursing  Orders  have  gone  through  their 
training  there.  The  dispensary  is  always 
crowded  with  *  out  patients  '  of  every  age  and 
sex,  and  suffering  from  every  variety  of  human 
complaint.  The  operating-rooms,  sterilisation 
plant,  bandage  department,  sanitation,  &c., 
are  irreproachable,  and  the  names  of  the 
doctors  in  attendance  warrant  the  excellence  of 
the  surgery.  After  the  war  there  will  be  accom- 
modation for  in-patients  under  medical  and 
surgical  treatment,  with  a  larger  operating 
theatre  and  more  extensive  accommodation  for 
the  subjects  under  training.  It  will  then  be 
possible  to  receive  at  least  two  members  of 
any  given  Order  to  ensure  the  maintenance  of 
their  religious  life.  The  chapel  is  already  in 
use,  and  on  its  wall  hangs  the  autograph 
blessing  and  approval  of  the  present  Holy 
Father.  There  is  also  a  course  of  training  in 
dispensing  and  first  aid  for  ladies  and  girls. 
The  course,  theoretical  and  practical,  is  con- 
ducted by  excellent  doctors  and  lasts  four 
months ;  it  is  concluded  by  an  examination,  on 
passing  which  a  certificate  is  granted. 

The  attention  of  His  Holiness  Pope  Pius  X 
was  first  drawn  to  the  need  of  a  reform  In  the 
practical  training  of  the  older  nursing  Orders 
by  the  fact  that  while  he  was  still  Patriarch  of 
Venice,  a  surgeon  In  one  of  the  hospitals  there 
protested  against  the  removal  of  one  of  the 
nuns  assisting  in  the  operating  theatre,  for  the 
reason  that  no  one  of  the  other  sisters  was 
capable  of  replacing  her  In  the  theatre." 


OUTSIDE  ITHE    GATES. 

|THE  f  ENEMYlfALIEN     DANGER. 

•  Now  that  the  people  are  beginning  to  realise  the 
fine  mesh  of  the  financial  net  in  which 
Hun  bankers  and  millionaires  in  this  country  are 
strangling  our  national  life  and  liberties — and 
what  the  "  Hidden  Hand  "  really  means— they 
are  becoming  inspired  witt  a  deep  and  smouldering 
fury  against  the  political  system  which  has  placed 
the  Empire  in  such  danger,  and  are  slowly  but 
surely  rousing  themselves  to  action.  The  Prime 
Minister  has  refused  to  receive  a  deputation  on 
the  enemy  alien  question,  proposed  by  Mrs.  Dacre 
Fox  ;   and  on  Sunday,  this  valiant  lady,  speaking 


to  a  great  meeting  in  Hyde  Park,  said,  "  for  the 
first  time  since  the  war  broke  out  there  was  an 
open  fight  between  the  British  public  and  German 
influence  at  work  in  this  country.  We  had  to 
make  a  clean  sweep  of  all  persons  of  German  blood, 
without  distinction  of  sex,  birth-place  or  nation- 
ality. Any  person  in  this  country,  who  was 
suspected  of  protecting  German  influence,  should 
be  tried  as  a  traitor  and,  if  necessary,  shot.  The 
Home  Office  was  impregnated  with  German 
influence  and  the  Foreign  Office  used  men  pro- 
tected by  the  Hom^  Office."  Mrs.  Dacre  Fox 
announced  she  had  booked  the  Royal  Albert  Hall 
for  a  national  demonstration  on  the  subject 
on  Tuesday,  July  30th,  at  7.30  p.m.,  and  a 
sympathiser  present  offered  ;^ioo  towards  the 
expenses.  Mr.  R.  Wilson,  Secretary  of  the  British 
Empire  Union,  said  that  Sir  George  Cave  (the 
Home  Secretary),  raust  be  made  to  understand 
that  unless  he  applied  drastic  legislation  he  would 

be  impeached.  -* 

We  learn  that  there  is  a  type  of  enemy  blood 
against  whom  strong  precautions  are  needed. 
Tnis  is  the  British-born  son  of  German  parents. 
It  may  have  been  only  by  accident  that  his 
birth  took  place  in  this  country.  He  has  not  to 
be  registered  with  the  police  or  submit  to  any  of 
the  restrictions  imposed  on  his  parents  ;  and  there 
are  men  of  this  sort  doing  confidential  Government 
work  and  manning  the  Labour  battalions — safe 
from  the  bombs  and  bullets  of  their  blood  com- 
patriots. Recently  we  heard  of  one  of  these 
insolent  Huns  wearing  the  King's  uniform, 
during  leave,  boasting  of  what  "  they  intended  to 
do  after  the  war.  We  are  not  going  to  have 
Germany  isolated,"  he  boasted^ — "  we  hissed 
the  King's  portrait  on  the  cinema  screen  " — and 
"  you  English  ran  at  Cambrai  and  now  have  to  be 
stiffened  up  with  Frenchmen  at  the  front  " — 
and  more  of  such  blasphemy.  A  lady  present 
wrote  down  the  sayings  of  this  young  traitor  in 
khaki,  and  has  handed  them  to  the  right  quarter. 
But  is  there  a  right  quarter,  that  is  the  question  ? 

The  proposed  legislation  in  the  Naturalisation 
of  Aliens  Bill  is  weak  and  wobbling.  Not  to  our 
taste.     We  want  a  few  women  in  Parliament  to 

tone  it  up.  

WOMEN     IN    PARLIAMENT. 

It  is  stated  that  the  Labour  Party  are  determined 
to  force  a  decision  on  the  eligibility  of  women  for 
membership  of  the  House  of  Commons  before  the 
General  Election.  The  Executive,  by  endorsing 
the  candidatures  of  several  Labour  women  for 
industrial  constituencies,  have  staked  out  their 
claim.  They  have  decided  to  have  a  qualifying 
Bill  ready,  in  case  the  Law  Officers  should  advise 
the  Government  that,  under  the  present  law, 
women  are  not  eligible  for  membership  of  the  House 
of  Commons. 

The  National  Labour  Party  have  officially 
endorsed  the  prospective  candidature  of  Miss 
Macarthur  for  the  Stourbridge  Division  at  the 
next  election. 


tf 


The  Brtttah  Journal  <^  Numng,  July  27,  1918. 


"  Science  is,  I  beliere, 
nothing  but  trained  and 
organized  common-sense, 
differing  from  the  latter 
only  as  a  veteran  may 
differ  from  a  raw  recruit : 
and  its  methods  diffe' 
from  those  of  common- 
sense  only  so  far  as  the 
Guardsman's  cut  and 
thrust  differ  from  the 
manner  in  which  a  savage 
wields  his  club." 

Professor  Huxlty. 


The  Basis 
of 
Science 


BOOTS  PURE  DRUG  COMPANY  LIMITED  wish  to  draw  the 
attention  of  the  medical  profession  to  the  following  seven  scientific 
preparations.  Practitioners  who  endeavour  to  keep  abreast  of  the  times 
will  find  these  modern  antiseptics  of  superlative  value  in  general  practice. 


CHLORAMINE-T 

(p-loIutnc-i»Jlum-tulphochloramide). 

Dakin's  ideal  antiseptic,  of  wide  applicability  la 
medicine  and  surgery. 

In  bottles  of  loz..  1/2:  4oz..  3/6:  lib..  lS/6 

CHLORAMINE-T  GAUZE 

In  two  strenKths,  containins  approximately  5% 
and  35%  Chloramine-T.  (5%  supplied  unless 
otherwise  specified).  This  should  be  fixed  dry 
and  subsequently  moistened,  if  necessary,  when 
in  position. 

Im  scaled  packagea  only,  price  1/6  per  package, 

PROFLAVINE 

(3'6  diamino-acridine-iulphatt). 
The  improved  Flavine  derivative. 

Equal  in  antiseptic  powers  to  Acriflavine,  and  In 
important  respects  superior,  being  markedly  less 
toxic  and  less  irritating.  Proflavine,  being  less 
costly  to  manufacture,  can  be  sold  at  a  substantially 
lower  price  than  Acriflavine. 

5  gram  bottle.  1/4 :  20  gram  bottle.  5/- 

HALAZONE  TABLETS. 


TABLETS  OF  CHLORAMINE-T 

One  tablet  dissolved  in  two  ounces  of  water  makes 
a  one  per  cent,  solution. 

Bottles  of  25,  8*75  grain  tablets,  1/9 
50,     „  „         „        2/- 

100 3/9 

One  tablet  dissolved  in  ten  ounces  of  water  makes 
a  one  per  cent  solution. 

Bottles  of  12  43-75  grain  tablets.  l/IO 

CHLORAMINE-T  CREAM 

Containing  approximately  one  per  cent.  Chlora- 
mine-T. Described  and  investigated  under  the 
name  of  Chloramine  Paste  by  Vincent  Daufresne. 
Carrel,    Hartmann    and   other*,  in   the  Journal  ajf 

Etperimtntal  Medldne.  1917. 

In  PoU.    Trial  size.  Bd. :  large  size.  1/S. 

TABLETS  OF  PROFLAVINE 

(wilh  sodlam  chloride). 

One  tablet  dissolved  in  four  fluid  ounces  sterile 
water  makes  1:1000  Proflavine  in   normal  satins. 

Bottles  of  100  tablets.  S/6 


DAKIN'S   NEW  WATER   DISINFECTANT. 
Vida  BM.J..  May.  1917. 


The  action  of  Halazone  is  positive,  and  may  be  relied  upon  for  crudest  waters.  Each  tablet  is  sufficient  to 
sterilize  one  quart  of  contaminated  water,  but  in  cases  of  extreme  contamination  a  second  tablet  may  b« 
necessary.    Halazone  is  invaluable  for  those  on  active  service  overseas,  more  particularly  in  hot  climates. 

Bottles  of  100  tablets,  6d. 

Supplies  are  a'vailahle  for  prescription  service  on  application 
through  any  of  the  branche*  of  BOOTS  THE.  CHEMISTS. 

Boots  Pure  Drug  Company  Limited 

MANUFACTURING   CHEMISTS    AND   MAKERS   OF  FINE   CHEMICALS. 
Head  OWcee :    Station  StrMt.  NoMiasham.       JESSE  BOOT.  Manasiac  Dir« 


^^ 


ITbc  Brltlsb  3ournal  of  *Wur0lna. 


July  27,  #918 


BOOK    OP  THE   WEEK. 


"TOWARDS    MORNING."* 

This  book  may  be  compaiod  to  a  film — a 
terrible,  realistic  series  of  moving  pictures,  which 
is  marshalled  before  our  fascinated  eyes  with 
r..lentloss  force. 

It  may  awaken,  perchance,  for  the  first  t^rae, 
our  pity  for  the  unfortunate  victims  of  the  German 
military  systeAi,  as  page  after  page  depicts  for  us 
the  remorseless  crushing  of  the  individual  into  the 
powder  that  is  destined  to  cement  the  nation,  or, 
to  use  the  simile  of  the  author,  "  the  cog  mattered 
only  so  long  as  it  served  its  purpose — it  was  the 
machine,  the  machine  that  mattered  always." 

To  illustrate  this  system,  this  amazingly  strong 
book  has  been  produced,  which  follows  from  the 
cradle  to  the  grave,  nay  even  while  the  child  was 
yet  in  its  mother's  womb,  one  unit  of  that  vast 
army  which,  after  long  years  of  hke  preparation, 
have  been  ruthlessly  sacrificed  to  satisfy  the 
insolent  claims  of  the  War  God. 

The  Herr  Amtshreiber  is  awaiting  with  nervous 
expectation  the  advent  of  his  first  born.  He 
himself  had  never  been  a  success.  How  this  is 
he  doesn't  know.  "  My  Bureau  Chief  doesn't  like 
me.  I  don't  know  why.  I  have  always  done  my 
best."  "" 

On  the  other  hand  his  brother-in-law  was  a 
great  man-  He  had  no  sympathy  with  the 
expectant  parents  at  the  supreme  crisis. 

,"  Women  have  to  go  through  with  it.  It's  their 
duty.  They  were  made  for  it.  Mustn't  make  a 
fuss.  We  fight — they  bear  children.  Na  gut,  it 
must  be  a  boy,  then.  You  kn-^w  the  good  ola 
custom,  the  first  child  to  the  Kaiser.  A  fine  boy. 
See  to  it,  my  dear  fellow." 

The  young  Helmut  was  ten  when  he  first  went 
to  the  Gymnasium,  and  the  sufferings  of  the 
unhappy,  nervous  child  on  the  first  day  there  and 
the  cynical  callousness  which  was  meted  out  to 
him  could  not  fail  to  raise  the  compassion  of  the 
hardest  heart.  His  return  home  to  his  mother  in 
the  evening  is  told  with  a  brevity  and  force 
that  is  a  good  example  of  the  fine  work  of  the 
writer. 

"  Well,   Helmut." 

He  did  not  answer,  and  she  took  off  the  bright 
yellow  cap  of  the  Lower  Fifth  and  ran  her  hand 
with  a  caress  over  the  close -cropped  head.  "  Why, 
you're  going  to  be  a  real  man,  Helmut"  She 
helped  him  to  unstrap  his  books.  There  were  ten 
of  them.  He  had  got  to  take  everything  that  was 
in  those  dull  covers  and  squeeze  them  in^o  his 
head.  And  his  head  ached  now,  as  if  it  were  full 
to  overflowing. 

Suddenly  he  turned,  and  there  was  a  note  of 
quivering  hysteria  in  the  boy's  voice. 

"  And  shall  I  never  play  again,  mother  ?  " 

For  a  moment  they  stared  at  each  other. 
There  was  an  aghast  look  on  the  woman's  dull, 

♦  By  I.  A.  R.  Wylie.  (Cassell  &  Co.,  London.) 


pale  face.     She  turned  away,  as  though  there  were 
something  in  his  eyes  she  could  not  meet. 

"  You  must  be  a  man,  Helmut,"  she  said 
quietly.     "  Life  isn't  a  game." 

He  was  ten  years  old  when  he  found  out  that 
life  wasn't  a  game. 

And  the  end  of  it  all  was  that  he  failed  to  pass 
the  necessary  examiration  and  was  compelled  to 
enlist  as  an  ordinary  soldier.  We  suppose  one 
must  be  a  German  lad  of  the  better  class  to 
appreciate  what  the  humiliation  of  that  would 
mean. 

We  cannot  give,  for  want  of  space,  the  descrip- 
tion of  the  cruel  twenty-four  hours'  march,  to 
satisfy  the  ambition  of  rival  divisions  whose 
officers  had  laid  a  bet  on  the  endurance  of  their 
respective  men. 

It  was  Viet  Thomas  who  told  them — 

"  If  we  don't  play  up  it  will  cost  our  little  ofi&cers 
fifty  bottles  oi  fizz.  You'll  see  how  they'll  houn  d 
us  along.  Of  course  you  know  it's  all  uhofi&cial  ; 
but  you  know  what  that  means.  If  we  win,  the 
Herr  Oberst  can  begin  thinking  about  himself  as 
brigadier.  If  we  don't,  he'll  wake  up  one  morning 
with  a  top-hat  on." 

It  was  the  little  Herr  Leutnant  MulJer  that 
first  spoke  words  of  kindness  and  encouragement 
to  Helmut,  which  for  one  brief  evening  lifted  him 
out  of  liis  sullen  despair.  The  little  Leutnant  was 
killed  in  a  duel  next  morning  at  dawn.  Helmut 
recalled  a  voice  he  had  heard  say,  "  We'll  get  our 
little  Muller  out  poon — freeze  him  out,  or  kick  him 
out ;  somehow.     You'll  see  !  " 

So  they  drove  the  body  of  ^  the  httle  Leutnant 
home. 

Johan  cried.  The  tears  splashed  on  to  his  tunic, 
and  made  big  stains  on  the  blue  cloth. 

But  Helmut  did  not  cry.  His  eyes  were  empty 
— stupid-looking. 

That  night  he  succumbed  for  the  fir.^t  time  to  the 
bestial  pleasures  of  his  companions,  because  his 
loneliness  and  isolation  were  more  than  he  could 
bear.  After  his  rapid  descent  into  brutality  it  is 
said  of  him,  "  There  were  .-tains  on  the  field  grey 
uniform,  grotesque  stains  on  the  peaceful  face  half 
hidden  on  the  curve  of  his  arm.  It  was  as  though 
while  he  slept,  an  enemy  had  wilfully  besmeared 
him." 

And  the  end  of  it  all  was — 

"  Helmut  Fclde,  at  dawn,  for  disobedience  in 
the  face  of  the  enemy." 

But  Helmut  by  this  very  disobedience  made 
,  good,   and  the  incidents  connected  with  it  are 
stirring  and  pathetic  beyond  description. 

The  relating  of  the  grinding  to  powder  of  this 
human  sou!  is  no  mere  figment  of  the  imaginat'on, 
it  is  rather  the  play  of  the  imagination  around 
facts  ;  but  it  is  an  embodiment  of  the  sy.^tem  which 
no  fiction  can  over-estimate— the  relentless  Jugger- 
naut wnich,  please  God,  we,  in  our  turn,  are  out  to 
crush. 

This  book  should  be  read  with  sympathy  and 
understanding. 

H.  H. 


July  27,  1918 


^be  3Br(tt0b  3onrnal  of  IRuretno. 


73 


LETTERS  TO  THE  EDITOR. 

Whilst  cordially  inviting  communications  upon 
all  subjects  Jor  these  columns,  we  wish  tt  to  bt 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

RENDER  TO    C/ESAR,  &c. 

To  the  Editor  of  The  British  Journal  of  Nursing- 
Dear  Madam, — I  have  to  thank  one  of  your 
correspondents  for  a  most  gratifying  reference 
to  the  work  done  at  the  North  IsHngton  Maternity 
Centre,    in  your  issue  of   July   6th. 

In  justice  to  the  founder  and  other  pioneer 
workers  to  whom  the  credit  of  the  success  is  really 
due,  I  feel  ccrapelled  to  rectify  the  mis-statement 
in  connection  with  the  Infant  Welfare  Ward, 
wliich  is  not  under  my  charge.  The  whole 
department,  which  is  re-opening  on  the  24th 
on  an  enlarged  scale,  will  have  a  complete  resi- 
dential staff,  and  the  late  Superintendent  of  the 
North  Islington  Maternity  Centre  has  been 
appointed  Matron  of  the  American  Infant  Welfare 
Wards,  by  which  title  it  will  be  known  in  future. 
The  work  of  the  wards  wiH  be  of  immense 
benefit  to  the  residents  of  this  district  who  attend 
our  Centre,  and  we  workers  hope  to  co-operate 
most  cordially  for  the  general  good  of  Welfare 
Work.  ,  y^  Yours  sincerely, 
-V      ■  •      • '  '  ■'  I  G.  Le  Geyt, 

6,  Manor  Gardens,  Superintendent. 

HoUoway  Road,  N.  i. 


WANT     OF     CONSIDERATION. 

To  the  Editor  oj  The  British  Journal  ofNursing. 

Dear  Ma  dam,- — A  couple  of  weeks  ago  The 
British  Journal  of  Nursing  reported  that  Major 
Chappie  recently  asked  in  the  House  of  Commons 
whether  any  advance  had  been  made  in  the  mess 
allowance  to  nurses  to  meet  the  increased  cost  of 
food.  To  this  it  was  possible  to  answer  truthfully 
in  the  affirmative,  but  is  it  not  time  that  the 
Government  increased  their  nurses'  uniform 
allowance,  which  remains  still  at  the  pre-war 
figure  of  ;^8  per  annuni„  in  spite  of  the  fact  that 
all  materials  and  also  dressmaking  cost  almost 
twice  as  much  as  at  the  beginning  of  the  war  ? 
And  does  there  exist  anywhere  in  this  country 
a  class  of  employment  where  salaries  have  not 
been  largely  advanced  to  moet  the  enormous 
increase  in  the  cost  of  living  ?  Yet  the  Govern- 
ment has  not  raised  by  one  penny  the  salaries  of 
its  nurses,  except  to  those  who  sign  a  contract  for 
the  duration  of  war,  and  the  many  women  who, 
on  account  of  home  and  other  responsibilities,  are 
unable  to  agree  to  such  a  contract  must  continue 
to  struggle  along  with  an  income  which  in  pre-war 
days  was  hardly  sufficient. 

I  shall  be  grateful  if  you  will  give  publicity  to 
this  letter,  as  I  know  there  are  many  members  of 
the  Army  Nursing  Service  who  feel  strongly  the 
want  of  consideration  shown  to  them  in  these 
matters.     I  enclose  my  card  and  remain. 

An  Army  Sister. 


A     VEXATIOUS     ARRANGEMENT. 

To  the  Editor  oj  The  British  Journal  of  Nursing. 

Dear  Madam, — I  should  be  very  glad  if  any  of 
your  readers  could  enlighten  me  as  to  the  following 
point.  AH  nurses  who  have  joined  the  Royal 
National  Pension  Fund  for  Nurses,  and  getting  an 
annuity,  have,  as  you  know,  every  month  to  send 
a  doctor's  certificate  and  a  clergyman's  certificate. 
This,  surely,  especially  for  nurses  living  in  a 
country  district,  is  a  little  humiliating  as  it  means 
that  their  business  is  more  or  less  known.  Is 
there  any  obscure  reason  for  the  multiplication  of 
these  signatures,  for  it  surely  is  a  waste  of  time  for 
the  clergyman  and  doctor — though  that  is  not  my 
point.  My  point  is,  that  surely  every  nurse 
getting  a  pension  naturally  feels  she  would  like  to 
keep  her  affairs  private,  and  the  getting  signatures 
every  month  seems  to  me  an  unnecessary  bringing 
to  light  of  her  own  business. 

If  you  could  find  space  in  your  valuable  paper 
for  my  letter  I  should  be  very  gratof ul. 
Yours  truly, 

M.  Shepherd, 
Trained  Nurse,  C.M.B.  Cert. 

[This  system  is  surely  annoying,  especially  as 
nurses  insured  in  the  N.P.F.N.  have  paid  in  full 
for  their  annuities,  which  are  not  pensions. — Ed.] 


KERNELS     FROM    CORRESPONDENCE, 

From  a  Sister  in  France  : — ■"  For  the  first  time 
I  have  seen  '  A  History  of  Nursing  '  (Nutting  & 
Dock).  What  a  mine  of  wealth  to  explore  !  Why 
did  I  never  hear  of  this  greatest  of  educational 
works  in  my  training  school  (Guys)  ?  " 

[Because  our  tfaining-schools  have  hitherto  been 
too  narrow  in  their  outlook  to  teach  nursing 
history,  and,  incidentally,  because  you  have'not 
read  a  professional  Journal — ^The  B.J.N.  ! — which 
keeps  you  in  touch  with  professional  affairs. — Ed.] 

From  a  Sister  in  Savoy.—"  We  follow  with 
interest  the  professional  struggle  in  the  B.J.N. 
...  It  seems  incredible  that  outsiders  should 
consider  themselves  capable  of  directing  our 
profession.  What  would  some  of  our  interfering 
friends  think  if  we  offered  to  stage  manage  some 
of  their  productions.  Our  profession  is  indeed 
fortunate  in  having  you  at  its  head  to  fight  its 
battles,  otherwise  without  your  leadership  T  do  not 
,  now  where  we  should  be  landed." 


OUR     PRIZE     COMPETITION. 

We  regret  that  no  prize  competition  has  this 
week  been  received  which  comes  up  to  the  standard 
which  justifies  us  in  awarding  a  prize.  No  doubt 
all  nurses  are  just  now  very  busy,  and  those  who 
are  not  working  at  full  pressure  are  taking  a  well- 
earned  rest. 

QUESTIONS. 

August  10th. — What  have  you  learnt  of  new 
nursing  methods  in  a  Military  Hospital  ? 

August  ijth. — What  is  pernicious  anaemia  ? 
How  have  you  seen  it  treated  ? 


74         (Tbe  3Britl0b  3ournal  of  Buretnc  Supplement.      My  27, 19^^ 


The  Midwife. 


THE  MIDWIVES'  ACT  AMENDMENT  BILL. 


I       ■■'::  '{Concluded  from  page  38) 

I  When  the  Midwives  Act  Amendment  Bill 
(|pmes  on  in  the  House  of  Commons,  two  points 
in  particular  will  need  careful  watching,  (i)  As 
we  have  already  pointed  out  that  "  to  bring  the 
English  Act  into  line  with  those  in  other  parts 
01  the  United  Kingdom,"  which  is  the  intention 
of  the  Bill  as  declared  in  its  memorandum, 
provision  must  be  made  for  adding  midwives  to 
the  Central  Midwives  Board.  (2)  The  final  form 
of  Clause  12.  It  wiir  be  remembered  that  the 
Marquess  of  Salisbury,  when  the  Bill  was  before 
the  House  of  Lords,  secured  an  Amendment 
providing  that  "  Section  nine  of  the  principal 
Act  (which  enables  county  councils  to  delegate 
their  powers  and  duties  to  district  councils) 
shall  be  repealed."  This  was  quaUfied  later  by 
the  addition  of  the  words  "  Provided  that  where 
at  the  commencement  of  this  Act  any  powers  or 
duties  have  been  delegated,  such  delegation  shall 
not  be  affected,  unless,  on  the  representation  of 
the  County  Council  concerned,  the  Local  Govern- 
ment Board  otherwise  direct."  This  provision 
affects  four  district  councils.  Any  further  attempt 
at  weakening  Lord  SaUsbury's  mendment  in 
the  House  of  Commons  must  be  strenuously 
resisted. 

TIffi  MATERNITY  AND  CHILD  WELFARE 
BILL. 


The  committee  stage  of  the  Maternity  and  Child 
Welfare  Bill  in  the  House  of  Loids  is  down  for 
Thursday,  July  25th. 


NATIONAL  BABY  WEEK. 


A  meeting  of  the  Council  was  held  at  the 
Armitage  Hall,  224,  Great  Portland  Street,  on 
Tuesday,  July  23rd.  The  chair  was  occupied  by 
Dr.  Eric  Pritchard,  Chairman  of  the  Executive 
Committee,  in  the  regretable  absence  of  Major  the 
Hon.  Waldorf  Astor,  Whose  duties  as  Parlia- 
mentary Secretary  to  the  Ministry  of  Food,  to 
which  office  he  has  j  ust  been  appo  inted,  were  too 
pressing  to  admit  of  his  being  present.  It  was 
quite  obvious  that  those  present  in  the  body  of  the 
hall  were  animated  by  a  spirit  of  enthusiasm  and 
hope,  which  augurs  well  for  the  future  welfare  of 
mothers  and  babies  in  particular  and  for  the  health 
of  the  nation  in  general.  They  were  not  merely 
lookers-on,  but  social  workers  taking  a  deep 
interest  in  this  work  of  great  national  importance, 
which  was  shown  by  the  lively  discussion  which 
followed  upon  speeches  recommending  a  Ministry 


of  Public  Health.  The  following  reports  were 
submitted  .-—That  of  the  Executive  Committee 
by  Mrs.  H.  B.  Irving  (Hon.  Sec.)  That  of  the  Hon. 
Treasurer,  by  Dr.  Eric  Pritchard,  in  the  absence 
of  Sir  Edward  Pen  ton.  -That  of  the  Jewel  Fund 
Administrative  Committee,  by  Miss  Halford. 


The  National  Baby  Week  Council  is  doing  good 
service  in  publishing  a  series  of  pamphlets  bearing 
upon  its  work.  Included  in  these  are  four  lectures 
to  which  reference  has  already  been  made  in  this 
journal.  "  National  Baby  Week,  from  the  Work- 
ing-class Mother's  Point  of  View,"  by  Mrs.  H.  B. 
Ii-ving  ;  "  The  Factors  of  Infant  Mortality,"  by 
Dr.  C.  W.  Saleeby,  F.R.S.E.,  F.Z.S.  ;  "  Civic  Re- 
sponsibility with  regard  to  Child  Welfare,"  by  Di. 
Harold  Scurfield,  D.P.H.,  and  "  Baby  Week  :  its 
Objects  and  its  Future,"  by  Miss  Alice  Elliott. 
"  The  Nation's  Wealth  "  is  a  Composite  Message 
from  the  Well  Wishers  of  the  Campaign,  incluaing 
General  F.  Foch.  The  most  vital  message  is  from 
a  working  woman  in  St.  Pancras,  and  most  nurses 
and  midwives  will  agree- with  her  when  she  says, 
"  People  that  do  not  know  much  about  children 
should  not  be  allowed  to  give  advice."  The 
message  sent  two  months  ago  by  the  late  Lord 
Rhondda  has  a  special  interest.  He  wrote  :  "  The 
care  of  the  children  is  a  sacred  duty  we  owe  to 
those  who  are  giving  their  lives  for  us  at  the  Front, 
and  we  can  best  help  our  country  in  these  critical 
times  by  helping  the  children.   .  .  . 

"  The  estabhshment  of  a  Ministry  of  Health, 
which  would  do  much  for  the  nation's  children  and 
coming  generations  is  an  object  for  whicn  all  well- 
wishers  of  the  Empire  should  work,  and  one  for 
which  I  hope  we  shall  not  have  long  to  wait." 

Alas,  Lord  Rhondda  did  not  live  to  see  the  reform 
he  so  earnestly  desired.  We  agree  with  the 
National  Baby  Week  Council  that  the  best 
memorial  to  his  memory  would  be  the  immediate 
establishment  of  a  Ministry  of  Health. 


WORD  FOR  THE  WEEK. 

"  To  those  who  say  that  an  abundant  supply 
of  cheap  juvenile  labour  is  necessary  to  industry 
we  answer  '  Hands  off  the  children  !  '  They  are 
the  nation  of  the  future.  They  ought  to  be 
regarded  as  potential  parents  and  potential 
citizens,  not  to  be  sacrificed— as  they  have  been 
in  the  past — to  the  temporary  convenience  of 
industry  and  to  considerations  of  private  profit. 
Industry  exists  for  human  beings,  not  human 
beings  for  industry  and  if  the  exigencies  of 
employers  and  the  welfare  of  the  children  conflict, 
then  the  former  must  give  way  to  the  latter,  not 
the  latter  to  the  former. "^ — Mr.  Arthur  Henderson, 
M.P. 


WITH  WHICH  IS  INCORPORATED 

HI  irailEXlI€  MBCOl 

EDITED  BY  MRS  BEDFORD  FENWICK 


No    1,583. 


SATURDAY,   AUGUST    3,    1918. 


Vol.    LXI 


EDITORIAL. 


REMEMBRANCE    DAY. 

The  Lord  Mayor  of  London  rightly  inter- 
preted the  national  feeling  when  he  pro- 
posed "  that  Great  Britain  should  pause  for 
a  moment  in  the  midst  of  the  great  struggle 
to  turn  to  the  past  four  years,  and  reconse- 
crate itself  in  the  memory  of  those  high 
traditions,  to  the  demands  of  the  future." 

So  it  comes  to  pass  that,  throughout  the 
Empire,  Sunday,  August  4th,  will  be  kept 
as  "  Remembrance  Day."  We  shall  have 
in  remembrance  our  fighting  men,  our  sick 
and  wounded,  our  prisoners  of  war,  and 
surely  our  nurses,  and  our  women's  army. 

The  Roll  of  Honour  of  members  of  our 
profession  who  bravely  and  simply  have 
laid  down  their  lives  in  the  cause  of  the 
world's  freedom,  is  a  long  and  growing  one. 
We  will  have  them  in  remembrance  proudly 
and  gracefully  on  Sunday  next,  and  year  by 
year  ns  "  Remembrance  Day  "  comes  round. 

At  the  instance  of  the  Prime  Minister  a 
solemn  service  of  intercession  will  be  held 
on  Sunday  morning  at  St.  Margaret's, 
Westminster,  the  parish  church  of  the 
Royal  Palace  of  Westminster.  Apart  from 
its  special  intention,  it  will  be  of  historical 
interest,  as  the  King,  accompanied  by  the 
Queen,  will  attend,  and  it  will  be  the  first 
occasion  in  English  history  on  which  the 
Sovereign  has  officially  attended  Divine 
Service  at  the  head  of  His  Lords  and 
Commons. 

In  the  afternoon  there  will  be  a  service 
in  Hyde  Park,  where  a  Floral  Shrine  will 
be  erected,  which  it  is  hoped  may  be  visited 
by  Their  Majesties.  These  War  Shrines  will 
be  a  feature  of  the  day,  and  will  be  erected 
in  the  market  places,  or  at  the  town  halls 
in  provincial  towns,  so  that  floral  offerings 
may  be  made  in  honour  of  the  dead.  These 
will  afterwards  be  collected  by  volunteers, 
and   boy   scouts,    and    taken   to   the    local 


military  hospitals.  A  short  service,  at 
which  the  Bishop  of  London  will  be  the 
preacher,  and  a  mass  meeting  will  be  held, 
when  the  following  resolution  will  be  pro- 
posed, and  subsequently  despatched  to  the 
Prime  Minister  :^ 

"  That  the  citizens  of  London  here  assembled  on 
Remembrance  Day,  August  4th,  1918,  silently 
paying  tribute  to  the  Empire's  sons  who  have 
fallen  in  the  fight  for  freedom  on  the  scattered 
battlefields  of  the  woi Id-war,  whether  on  sea  or 
shore,  and  mindful  also  of  the  loyalty  and  courage 
of  our  sailors,  soldiers,  airmen,  and  men  of  the 
Mercantile  Marine  every  day  and  everywhere,  and 
those  who  are  working  on  the  munitions  of  war 
and  helping  in  other  ways  for  the  preservation  of 
civilisation,  unanimously  resolve  to  do  all  that  in 
their  power  lies  to  achieve  the  ideals  on  behalf  of 
which  so  great  a  sacrifice  has  already  been  made." 

Of  those  who  most  need  our  thoughts, 
our  sympathy,  and  our  practical  help,  the 
prisoners  of  war  surely  come  first,  and  the 
suggestion  of  the  Duke  of  Connaught  that 
the  collections  made  in  the  churches  on 
Sunday  next  should  be  given  in  whole,  or  in 
part,  to  our  prisoners  of  war  in  enemy  hands 
will  be  widely  approved. 

PANSIES  FOR  THOUGHTS. 

The  simple  heartsease  is  by  common 
consent  the  flower  of  remembrance.  Why 
should  we  not  adopt  it  as  the  flower  of 
Remembrance  Day,  and  wear  "  Pansies  for 
Thoughts  "  on  Sunday  next,  and  every  year 
when  the  Day  comes  round  in  honour  of  our 
heroes  and  heroines,  living  and  departed  ? 

There  is  no  flower  more  appealing  than 
the  heartsease,  and  in  its  manifold  variety 
it  presents  a  diversity  of  colour  and  form 
to  suit  all  tastes.  Far  and  wide  let  us  wear 
the  emblem,  and,  more  important  still,  let 
us  cultivate  and  cherish  the  attribute  of  the 
heartsease.  The  world  never  needed  those 
who  possess  it,  and  the  power  of  communi- 
cating its  secret  to  others  more  than  at  the 
present  time. 


76 


(Lbe  Bruisb  3ournal  of  iRurstng. 


August  3,   1918 


OUR    PRIZE    COMPETITION. 


now    MAY    THE   PLAY    OF   CHILDREN    BE    DIRECTED 
50    A5    TO    BE    A    MEAN5   OF    EDUCATION? 

We  have  pleasure  in  awarding  the  prize  this 
week  to  Miss  Emilie  Mona  Clay,  Colwyn 
Crescent,  Rhos-on-Sea,  North  Wales. 

PRIZE     PAPER. 

In  the  year  1837,  Friedrich  Froebel  opened 
his  first  Kindergarten  at  Blankenburgh.  The 
idea  of  using  play  for  educational  ends  was 
carried  out  by  him  in  that  early  infants'  school. 

It  was  Friedrich  Froebel  who  first  thought 
of  educational  play,  that  is,  of  so  using  the 
natural  characteristic  of  the  child  in  loving 
play,  to  teach  the  child  what  it  is  good  for  him 
to  know. 

Froebel's  explanation  of  why  he  thought  it 
important  to  use  play  educationally  would  be 
something  like  this  : — 

It  is  the  child's  nature  to  play  ;  it  will  be  easiest 
to  teach  a  child  through  play  because  the 
child  loves  to  play. 

By  using  nature  and  natural  means,  the  child 
will  learn  unconsciously. 

Play  is  a  means  of  expression.  This  is  import- 
ant, because  at  an  early  age  the  child 
expresses  himself  more  through  actions  than 
words. 

Play  is  the  child's  world. 

For  these  and  other  reasons,  having  regard 
to  child  psychology,  -it  is  important  to  use 
nature  and  what  is  natural  to  meet  our  ends 
educationally. 

Thus,  if  we  want  a  child  to  realise  some  of 
life's  activities — the  work  of  the  baker,  the 
shoemaker,  the  blacksmith,  and  so  forth — we 
do  not  take  a  book  and  read  to  the  child  a  dis- 
course on  the  work  of  the  baker,  the  shoemaker, 
the  blacksmith,  we  follow  nature,  and  we  pic- 
ture out  through  play  the  activities  of  these 
tradesmen.  Or,  again,  we  may  be  wishing  to 
draw  a  child  to  close  realisation  of  the  beauties 
of  nature,  as  in  the  life  of  the  butterfly,  the 
squirrel,  the  bee,  the  daffodil.  To  do  this  we 
may  dramatise  simply  through  play  the  simple 
facts  of  nature  :  the  butterfly's  beautiful  trans- 
formation, the  life  of  the  squirrel  in  saving 
food,  the  wonders  of  bee  life,  the  daffodil  with 
other  bulbs,  and  the  future  of  that  brown- 
looking  object. 

Through  nature  play  the  child  sees  his  own 
life  reflected  in  some  life  outside  his  own,  and 
the  plays  or  simple  dramatisations  make  sure 
his  knowledge  about  the  animal  life  so  near 
him.  This  kind  of  acquisition  is  the  "  learn 
by  doing "   which   does   not   merely   apply   to 


children's  play,   but  is  the  great  fundamental 
principle  in  all  teaching. 

The  child  who  has  pictured  out  the  activities 
of  the  baker,  the  shoemaker,  the  blacksmith — 
or  represented  through  play  some  of  Nature's 
wondrous  lore — will  not  forget  the  knowledge 
gained  in  this  way.  Such  knowledge  will  be 
the  child's  very  own  in  a  more  far-reaching 
sense  than  it  could  possibly  be  were  the  child 
only  told  about  the  baker,  the  shoemaker,  the 
blacksmith,  or  about  the  butterfly,  the  bee,  or 
the  daffodil,  the  squirrel,  and  soon. 

Educational  play  is  learning  by  doing ;  it  is 
using  something  so  natural  to  the  child,  the 
love  of  play  and  activity  and  dramatisation,  to 
impart  that  knowledge  which  in  after  years 
will  be  added  to  and  glorified. 

Froebel  says  in  connection  with  hand  plays  : 
If  your  child's  to  understand 

Things  which  other  people  do. 
You  must  let  his  tiny  hand 

Carry  out  the  same  thing  too. 

The  hand  plays  were  instituted  as  the  earliest 
form  of  educational  play.  In  these  the  child 
imitated  the  actions  of  the  "  other  people  "  and 
of  Nature's  phenomena,  as  the  turning  round 
of  a  weather  vane  through  the  action  of  the 
wind,  an  unseen  force  which  the  child  cannot 
see,  but  an  early  indication  of  the  law  of  cause 
and  eff'ect,  though  not  clear  to  the  child  at  the 
moment. 

Some  have  been  heard  to  say  that  '•'  educa- 
tional play  "  is  over-directed.  It  should  not 
be  this  in  the  hands  of  a  skilful  teacher.  She 
should  tell  the  children  in  simple  words  the 
facts  that  need  representing,  and  leave  the 
representation  to  them.  She  should  simply 
change  the  centre  of  interest  for  the  children 
if  the  play  is  degenerating  into  uselessness,  but 
she  should  not  be  the  director  of  the  play. 

As  cannot  be  too  often  said,  "  educational 
play  ' '  is  only  really  successful  when  the  teacher 
simply  remains  the  inspirer,  but  not  the 
manager  of  a  game. 

Educational  play  is  a  great  factor  in  educa- 
tion of  an  all-round  character,  more  than  merely 
the  imparting  of  facts  and  giving  knowledge, 
it  may  be  a  means  of  moral  training  untold.  It 
may  well,  help  to  make  citizens  as  well  as 
professors  ! 

HONOURABLE    MENTION. 

The  following  competitors  receive  honourable 
mention  : — Miss  M.  M.  G.  Bielby,  Miss 
R.  E.  S.  Cox,  Miss  O.  M.  Balderton,  Miss  C. 
Wright,  Mrs.  Farthing. 

QUESTION   FOR   NEXT    WEEK. 

What  have  you  learnt  of  new  nursing 
methods  in  a  military  hospital  ? 


August  3,   1918 


^be  Britisb  3ournal  of  fluraino. 


77 


MEDICAL    MATTERS. 


FEBRIS    WOLHYNICA. 

A   perfect   maze   of   publications,    long   ana 
short,   with  this  heaaing  has  appearea  in  the 
Grerman  and  Austrian  meciical  press,  says  tne 
British     Medical     Journal,     which     has     been 
drenched  with  a  sort  of  printer's  drum  fire  on 
this    subject.      Out   of    tnis    tangle,    Dr.    Oluf 
Ihomsen,   of   the   Serum    Institute  of  Copen- 
hagen, has  picked  out  the  most  salient  features 
of  a  disease  which  was  practically   unknown 
before  the  war,   except  to  Polish  physicians, 
who  seem  to  have  regarded  it  as  a  form  of 
malaria.       Early    in     1916    the    disease    was 
observed   in  soldiers  on   the  German   Eastern 
front.     Its  geographical  name,  Febris  wolhy^ 
nica,    was  as   misleading  as   its   symptomatic 
name,    Febris    quintana,    which    suggested    a 
variety  of  malaria,  for  it  was  observed  also  on 
the  Western  front,  and  no  bodies  resembling 
the  malarial  parasite  have  been  found  in  the 
blood,  and  laborious  searches  for  them  have 
been  made.     It  presents  many  of  the  charac- 
teristics of  trench  fever.     They  may,   indeed, 
prove  to  be  identical,  though  Wolhynian  fever, 
as  referred  to  by  certain  German  writers,  would 
appear  to  be  a  very  definite  fever,  with  a  far 
more    uniform    clinical    picture    than    that    of 
trench  fever.     According  to  Dr.  Thomsen,  the 
first  symptom  is  lassitude,  followed  in  a  day  or 
two  by  a  sudden  rise  of  temperature  to  about 
40°  C.      The  early  symptoms,   which  may  be 
preceded  by  rigors,  are  a  sense  of  great  heat 
and  profuse  sweating.     The  patient  is  giddy, 
and  his  muscles  feel  bruised.     A  very  charac- 
teristic and  most  unpleasant  symptom  is  pain 
in  the  legs,  especially  the  shins.     This  pain — 
gaiter  pain — is  often  worst  in  the  evening  or  at 
night,    and    is    stabbing,    boring,    or  burning. 
After  lasting  about  forty-eight  hours  the  tem- 
perature falls  almost  to  normal,  and  this  may 
be  the  end  of  the  attack.     It  may,   however, 
recur    as    often    as    ten    or    twelve    times,    at 
intervals  of  five  to  six  days.     These  intervals 
may  last  only  two  to  three  days,  or  may  be  as 
long  as  seven  to  eight.    The  prognosis  is  good, 
and  the  disease  is  seldom  if  ever  fatal.     Slight 
jaundice,  great  pallor,  herpes,  a  scarlatiniform 
or  small  papular  rash,  and  slight  enlargement 
of   liver  and    spleen    have    all   been  observed. 
There  is  an  absolute  and  a  relative  increase  in 
the  number  of  the  polymorphonuclear  neutro- 
phil leucocytes,  and,  after  two  or  three  attacks 
of  fever,   the  red  cells  may  show  slight  poly- 
chromasla.     The  disease  can  be  experimentally 
transmitted  to  man  by  lice,  which,  it  is  thought, 
are   probably   always   responsible   for   the  de- 
velopment of   the   disease    in   man.      Various 


bodies  have  been  found  in  the  digestive  system 
of  the  louse  and  in  the  blood  of  man,  but  the 
evidence  on  these  points  is  still  conflicting.  Xo 
satisfactory  treatment  has  yet  been  found. 

LICE  AND   DISEASE. 

In  connection  with  a  correspondence  on  the 
above  subject  apf>earing  recently  in  the  Times, 
the  Local  Government  Board  has  contributed 
an  interesting  note  : — 

Ihe  relation  between  trench  fever — and,  it 
may  be  added,  typhus  fever — and  body-louse 
infection  has  been  recognized  from  an  early 
period  in  the  war,  and  active  and  extensive  pre- 
cautions have  been  adopted  to  combat  pedicu- 
losis (lousiness)  in  camps  in  this  country  and 
abroad.  The  difficulties  of  "  delousing  "  have 
been  extremely  great,  especially  in  the  earlier 
days  of  rapid  mobilization,  when  arrangements 
for  personal  cleansing  and  disinfection  had  to 
be  rapidly  improvised.  At  present  such 
arrangements  are  fairly  complete  and  adequate 
for  military  needs.  It  is  noteworthy  in  this  con- 
nection that  few  if  any  cases  of  trench  fever 
have  originated  amongst  soldiers  in  home 
camps  or  billets.  The  same  holds  good  for 
civilians.  In  view  of  the  medical  publicity  given 
to  this  disease,  there  is  little  doubt  that  cases 
would  have  been  reported  had  they  occurred. 

In  Parasitology  for  April  and  May  of  this 
year.  Professor  Nuttall,  F.R.S.,  the  Quick 
Professor  of  Biology  at  the  University  of  Cam- 
bridge, has  published  the  results  of  investiga- 
tions in  which  he  has  been  engaged,  partially 
on  behalf  of  the  Local  Government  Board, 
during  the  last  three  years,  on  the  whole  ques- 
tion of  pediculosis.  In  this  publication  he  has 
added  considerably  to  our  previous  knowledge 
of  the  subject,  and  has  incorporated  a  full 
account  of  the  mass  of  work  which  has  been 
done  by  various  expert  workers  for  the  Armv 
Medical  Department.  The  practical  methods 
for  destroying  lice  and  their  eggs,  which  have 
been  adopted  on  a  large  scale,  with  excellent 
results,  in  military  camps  are  also  described.  .  . 
A  question  somewhat  similar  to  that  of  trench 
fever  has  been  under  consideration  by  the 
Local  Government  Board  in  connection  with 
complaints  from  different  parts  of  the  country 
as  to  the  unusual  prevalence  of  scabies  (itch). 
In  some  areas  in  which  scabies  has  been  particu- 
larly prevalent,  the  Board  have  consented  to  its 
being  made  temporarily  notifiable  as  part  of  the 
systematic  measures  proposed  to  be  undertaken 
to  control  its  spread.  In  the  same  connection 
the  Board  have  in  preparation  a  circular  letter 
to  all  local  authorities,  embodying  practical 
suggestions  for  the  control  of  the  parasites  of 
scabies  and  pediculosis.' 


78 


Cbc  Britieb  3ournal  ot  IRurstng. 


August  3,   1918 


THE    ROYAL    RED    CROSS, 


The  King  conferred  decorations  as  follows 
at  Buckingham  Palace,  on  July  26th  : — 

THE     ROYAL     RED    CROSS. 

First  Class. 

Queen  Alexandra's  Imperial  Military  Nursing  Service. 
— Sister  Margaret  Percival. 

Queen  Alexandra's  Imperial  Military  Nursing  Service 
Reserve. — Assistant  Matron  Mary  Chapman,  and  Sister 
Annie  MacLeod. 

Second  Class. 

Queen  Alexandra's  Imperial  Military  Nursing  Service. 
Sister  Jane  Galloway  and  Sister  Frederica  Roche. 

Queen  Alexandra's  Imperial  Military  Nursing  Service 
Reserve. — Matron  Margaret  Mullally,  Sister  Aggie 
DuRWARD,  and  Sister  Elizabeth  Wellkr. 

Civil  Nursing  Service. — Matron  Louisa  Denton, 
Matron  Jessie  Elms,  Matron  Elsie  Gale,  Matron  Lilian 
Gibbon,  Assistant  Matron  Edith  Draper,  Sister  Frances 
Eager,  Sister  Phoebe  Ell  wood.  Sister  Clara  Evans, 
Sister  Anne  Farmer,  Sister  Jean  Gordon,  Sister  Ida 
Gould,  Sister  Lavinia  Green,  Staff  Nurse  Norah  Fitz- 
gerald, Miss  Esther  Edwards,  and  Miss  Beatrice 
Evans. 

British  Red  Cross  Society. — Matron  Ethel  Graham, 
and  Sister  Ruby  Cockburn. 

Voluntary  Aid  Detachment. — Mrs.  Marguerite  Carra- 
BiNE,  Miss  Grace  Dodgson,  Mrs.  Margaret  Douglas, 
Mrs.  Annie  Dowson,  Mrs.  Ethel  Dugdale,  Mrs. 
Henrietta  Edwards,  Mrs.  Cecilia  Ferguson,  Mrs.  Lilian 
Gibson,  Miss  Theodora  Marsh,  Miss  Elsie  Rigby- 
Murray,  and  Miss  Millicent  Graham-Smith. 

Queen  ^Alexandra  received  at  Marlborough 
House  the  Members  of  the  Civil  and  Military- 
Nursing  Services  who  have  been  awarded  the 
Royal  Red  Cross,  subsequent  to  the  Investiture 
at  Buckingham  Palace. 

NURSING    SERVICES    IN    EAST  AFRICA. 

The  King  has  been,  pleased  to  award  the  Royal 
Red  Cross  to  the  following  ladies  of  the  Nursing 
Services  in  recognition  of  their  valuable  services 
with  the  British  Forces  in  East  Africa  : — 


Miss     R. 
E.A.N.S. 


First  Class. 
Paul,    A.R.R.C,     Sen. 

Second  Class. 


Nursing    Sister, 


Miss  M.  Arnold,  Sister,  S.A.M.N.S.  ;  Miss  J.  E. 
Brodie,  Sister,  North 'n  Rhod'n  Med.  Serv.  ;  Miss  E.  M. 
Campbell,  Staff  Nurse,  Q.A.LM.N.S.R.  ;  Miss  T.  A. 
Clavin,  Sister,  S.A.N.S.  ;  Miss  R.  Davy,  Staff  Nurse, 
Q.A.LM.N.S.R.  ;  Miss  V.  Donkin,  Sen.  Nursing  Sister, 
E.A.N. S.  ;  Miss  K.  F.  Duff,  Sister,  Q.A.LM.N.S.R.  ; 
Miss  A.  M.  Fletcher,  Staff  Nurse,  Q.A.LM.N.S.R.  ; 
Miss  H.  Franklin,  Staff  Nurse,  Q.A.LM.N.S.R.  ;  Miss 
D.  M.  Graves,  Staff  Nurse,  S.A.M.N.S.  ;  Miss  B. 
Hooper,  Sister,  S.A.M.N.S.  ;  Miss  A.  N.  Martin,  Sister, 
S.A.N.S.  ;  Miss  A.  M.  Sargent,  Actg.  Matron, 
Q.A.LM.N.S.R. 


The  King  has  been  pleased  to  award  the  Royal 
Red    Cross    to    the    undermentioned    ladies,    in 


recognition  of  their  valuable  nursing  services  in 
connection  with  the  war  : — 

Second  Class. 
Laing,  Miss  H.,  Matron,  Princess  Patricia's  Hospl., 
Bray,  co.  Wicklow ;  Lawson,  Miss  C.  A.,  Matron, 
'*  Sutherlands,"  Aux.  Hospl.,  Reading,  Berks;  Lawton, 
Miss  E.,  Sister,  Mil.  Hospl.,  Endell  Street,  Long  Acre, 
W.C.  2  ;  Learmouth,  Miss  E.  F.,  Nurse,  Ryecroft  Hall, 
Audenshaw;  Leavesley,  Miss  S.,  Staff  Nurse,  T.F.N.S., 
4th  North.  Gen.  Hospl.,  Lincoln;  Lindsay,  Miss  M.  O., 
Nursing  Sister,  Can.  Nursing  Service,  No.  16,  Can.  Gen. 
Hospl.,  Orpington,  Kent;  Lindsay,  Miss  R.,  Sister  i/c 
St.  John's  V.A.  Hospl.,  Kingswood  School,  Bath; 
LiNTALL,  Miss  M.,  Anstie  Grange,  Dorking;  Llewellyn, 
Mrs.  H.,  Commndt.,  Coytrahen  Park  Red  Cross  Hospl., 
Tondu,  Glam.  ;  Lloyd,  Miss  S.,  Nurse,  3rd  Lond.  Gen. 
Hospl.,  Wandsworth,  S.W.  ;  Lovell,  Mrs.  A.  L.  S., 
Matron,  and  Officer  i/c,  Aux.  Mil.  Red  Cross  Hospl., 
Llanelly ;  Lovell,  Miss  L.  A.,  Sister,  T.F.N.S., 
2nd  Eastern  Gen.  Hospl.,  Division  i,  Brighton;  Lowe, 
Miss  A.  M.,  Sister,  T.F.JN.S.,  ist  Eastern  Gen.  Hospl., 
Cambridge;  Lumsden,  Miss  E.  E.,  Nursing  Sister,  Can. 
Nursing  Service,  No.  5  Can.  Gen.  Hospl.,  Kirkdale, 
Liverpool ;  Lyall,  Mrs.  J.  D.,  Sister,  Can.  Nursing 
Service,  Can.  Red  Cross  Spec.  Hospl.,  Buxton,  Derby- 
shire. 

Maccallum,  Miss  H.  B.,  Nursing  Sister,  Can.  Nursing 
Service,  West  Cliff  Can.  Eye  and  Ear  Hospl., 
Folkestone;  MacDermott,  Miss  A.,  Sister,  Beech  House 
Aux.  Hospl.,  16  and  18,  The  Avenue,  N.W.  6;  Mac- 
gregor.  Miss  J.  K.,  Matron,  Dalmeny  House  Hospl., 
Edinburgh;  MacIntyre,  Miss  M.  F.,  Sister,  T.F.N. S., 
3rd  Lond.  Gen.  Hospl.,  Wandsworth,  S.W.  ;  Macleod, 
Miss  M.  E.,  Nursing  Sister,  Can.  Nursing  Service,  No.  9 
Can.  Gen.  Hospl.,  Shorncliffe ;  Marr,  Miss  E.,  Sister, 
R.  Infirmary,  Sunderland;  Marsden,  Mrs.  E. ,  Matron, 
Beech  House  Aux.  Hospl.,  16  and  18,  The  Avenue; 
Matthews,  Miss  O.,  Staff  Nurse,  Q.A.LM.N.S.R.,  S. 
African  Mil.  Hospl.,  Richmond;  Mayne,  Mrs.  C, 
Matron  and  Theatre  Sister,  Flanders  and  Brooklands  ; 
McDowell,  Miss  A.,  Sister,  Q.A.LM.N.S.R.,  Mil. 
Hospl.,  York;  McGlashan,  Mrs.  M.  H.,  Sister-in- 
Charge,  Mil.  Hospl.,  Newhaven,  Sussex;  McKiel,  Miss 
T. ,  Nursing  Sister,  Can.  Nursing  Service,  No.  13  Can. 
Gen.  Hospl.,  Hastings;  McNicol,  Miss  A.  H.,  Nursing 
Sister,  Can.  Nursing  Service,  No.  11  Can.  Gen.  Hospl., 
Moore  Bks.,  Shorncliffe;  Merriott,  Miss  N.,  Asst. 
Matron,  Q.A.LM.N.S.R.,  Mil.  Hospl.,  Frees  Heath, 
Salop;  Messum,  Miss  A.  M.,  Matron,  Kent  and  Canter- 
bury Hospl.  (Civil);  Michelmore,  Mrs.  E.,  Masseuse, 
Alton  Red  Cross  Hospl.,  Hants;  Miller,  Miss  E.  A., 
Asst.  Matron,  T.F.N. S.,  ist  Lond.  Gen.  Hospl.,  Camber- 
well ;  Milnes,  Miss  M.,  Nurse,  V.A.  Hospl.,  Torquay; 
Moffat,  Miss  A.,  Hermitage  Aux.  Hospl.,  Lucan, 
Dublin;  Money,  Miss  G.,  Matron,  Field  House,  Daisy 
Hill,  Bradford ;  Mooney,  Miss  L.  (Sister  Alphonsus), 
Head  Sister  and  Theatre  Sister,  Mapperley  Hall  V.A.D. 
Hospl.,  Nottingham;  MoOre,  Miss  E.  M.,  Sister, 
T.F.N.S.,  5th  Northern  Gen.  Hospl.,  Leicester;  Morris, 
Miss  J.  G.,  Asst.  Matron,  Mil.  Orthopaedic  Hospl., 
Shepherd's  Bush,  W.  ;  Morton,  Mrs.  F.  A.,  Matron  and 
Lady  Supt.,  Mil.  Hospl.,  Scarborough;  Morton,  Miss 
H.,  Sister,  Edinburgh  War  Hospl.,  Bangor,  W.  Lothian  ; 
Morton,  Miss  M.  Y.  E.,  Nursing  Sister,  Can.  Nursing 
Service.  No.  16  Can.  Gen,  Hospl.,  Orpington,  Kent; 
MosELEY,  Miss  E.,  Matron,  T.F.N.S.,  Oakbank  War 
Hospl.,  3rd  Sco.  Gen.  Hospl.,  Glasgow;  Mowat,  Miss 
M.,  Nursing  Sister,  Can.  Nursing  Service,  No.  11  Can. 
Gen.  Hospl.,  Moore  Bks.,  Shorncliffe;  Mullally,  Miss 
M.,  Matron,  Q.A.LM.N.S.R.,  Mil.  Hospl.,  Buttevant, 
Co.  Cork;  Murray,  Miss  C,  Sister-in-Charge,  Cuerden 
Hall  Hospl.,  Bamber  Bridge. 


August  3,   1918 


{[be  Britidb  3ournal  of  'nuremo. 


79 


NURSING    AND    THE    WAR. 


The  Go  vendors  of  St.  Bartholcmjw's  Hospital 
have  decided,  vnth  many  other  general  hospitals, 
to  admit  for  training  a  limited  number  of  nursing 
members  of  voluntary  aid  detachments  and  special 
military  probationers  who  have  satisfactorily 
completed  not  less  than  two  consecutive  years' 
work  in  a  military  or  an  auxiliary  hospital.  The 
hospital  certificate  of  training  will  be  granted 
after  the  passing  of  the  final  examination  on  the 
completion  of  three  years'  training,  the  fourth 
year  of  the  usual  course  being  excused.  Regular 
probationers  are  now  received  at  St.  Bartholo- 
mew's Hospital  at  the  age  of  21. 

An  Injustice  to  Regular  Probationers. 

As  the  fourth  year's  work  exacted  by  the 
training  schools  is  one  of  service  and  not  of  training, 
this  is  a  fair  arrangement ;  but  where  regular 
probationers  will  suffer  is  that  those  who  train  in 
hope  of  making  military  nursing  their  career, 
will,  in  the  future,  be  exclu^ded  from  the  Imperial 
Kursing  Service,  as  the  new  Instruction  678, 
recently  adopted  by  the  Army  Council,  promoted 
by  the  British  Red  Cross  Society  and  the  Nursing 
Board,  provides  for  priority  of  promotion  to  the 
Service  for  members  of  voluntary  aid  detachments 
and  special  military  probationers,  who  are  to  be 
admitted  to  our  large  training  schools  on  the 
privileged  three  yeaas'  term.  This  is  specially 
unjust  to  those  regular  probationers  who  have 
entered  for  four  yeais'  training  and  service  this 
year. 

But  throughout  this  war,  members  of  the 
Nursing  Profession  have,  by  the  unfortunate 
influence  of  the  Matron-io-Chief  of  the  Joint  War 
Committee,  been  treated  with  a  lack  of  recognition, 
to  which  it  is  surpiising  that  they  should  have 
submitted. 

Instruction  678  is  the  latest  evidence  of  the 
danger  of  the  control  of  our  professional  standards 
by  lay  persons  of  social  influence,  the  leisured 
wealthy,  and  their  subservient  of&cials. 

What  next  ?  First  the  "  serf  clause  "  ;  now  the 
most  honourable  service  under  the  State  closed 
to  open  competition.  As  we  trained  nurses  are 
compelled  to  pay  the  taxes  to  support  the  War 
Office,  we  must  place  our  opinion  on  record  con- 
cerning this  class  job. 


The  Ulster  Nurses'  Unit,  since  their  hospital  at 
Lyons  was  closed,  have  been  working  with  an 
American  ambulance  on  the  Western  front,  but 
they  are  anxious  not  to  lose  their  identity,  and 
an  appeal  for  funds  is  being  made  This  Unit  has 
had  a  strenuous  time.  They  were  close  to  the 
battle  for  an  important  point,  and  their  hospital 
drew  the  usual  attention  from  the  Germans. 
Finally,  they  got  orders  to  evacuate  in  the  night, 
packed  all,  and  arrived  safely  at  the  next  point, 
where   they   are   now    in    charge,    after    almost 


miraculous  escapes.  Every  window  broken  and 
roofs  moved  by  injuries  to  the  walls,  yet  the  only 
building  completely  destroyed  was  their  goods 
store  and  the  only  lives  lost  by  bombardment  were 
seven  horses  close  outside  the  nurses'  quarters. 
The  Germans  fired  on  them  while  removing  the 
stretcher  cases,  and  on  the  doctors,  and  again  on 
the  orderlies  finally  clearing  off.  Ulster  nurses 
who  would  like  to  j  oin  the  unit  should  apply  to  the 
Matron,  Samaritan  Hospital,  Belfast.  They  must 
speak  French  fluently,  and  n'ot  object  to  hard  work 
and  some  discomforts. 


Miss  Dora  E.  Thompson,  Chief  of  the  American 
Army  Nurse  Caravan  Corps,  whose  hospitals  are 
mounted  on  motor  trucks  and  trailers,  is  organising 
staffs  of  fifty  nurses  for  each  unit,  who  will  go  up 
within  five  miles  of  the  fighting  lines  when  their 
caravans  respond  to  emergency  calls.  Each  unit 
is  planned  to  be  equivalent  to  an  evacuation 
hospital,  and  the  nurses  are  each  given  the  field 
Idt  of  an  officer,  prepared  to  camp  where  night 
finds  them. 

Real  Good  Work. 

Sister  Mary  Walker,  holder  of  the  Serbian  Croix 
de  Charit6,  a  former  student  of  the  Keighley  Girls' 
Grammar  School,  gave  an  address  at  the  Keighley 
Temperance  Institute  recently  on  the-  work 
of  the  Scottish  Women's  Hospital  in  Serbia  and 
Corsica.  Sii-  John  Clough  (chairman  of  the 
Governors)  presided  over  a  large  audience,  and 
Serbian  national  soDgs  were  sung  by  girls  of  the 
Grammar  School.  Sister  Walker,  who  expressed 
her  pleasure  at  being  able  to  come  back  to  Keighley 
again,  outUned  the  work  of  the  Scottish  Women's 
Hospitals  with  the  Belgian  and  French  armies, 
and  subsequently  with  the  Serbians.  After  the 
retreat  from  Serbia  she  and  another  nurse  attached 
themselves  to  the  women's  hospital  wnich  went 
out  with  the  Salonika  Expeditionary  Force. 
\Vhite  aprons  and  caps  were  synonyrnous  with 
nursing  in  England,  but  not  so  in  Serbia,  where 
they  had  no  water  to  wash  in,  snow  up  to  the  hips, 
and  blocks  of  ice  over  the  only  well  in  the  village. 
In  the  hospita'  itself  they  hed  no  means  of  obteiin- 
ing  heat,  and  the  hot- water  bottles  put  in  bed  at 
5  o'clock  at  night  were  frozen  at  10.  Around  the 
compound  wolves  gathered  at  night. 

Sister  Walker  spoke  of  the  removal  of  the  hos- 
pital to  Salonika,  and  subsequently  to  Corsica, 
where  they  bad  10,000  refugees  under  their  care. 
In  Corsica  100  babies  were  born,  and  only  three 
died.  Here  mothers  were  getting  the  ideas  of 
Western  and  particularly  British  civilisation  on 
the  rearing  of  children,  sanitation,  and  personal 
hygiene,  so  that  when  the  Serbian  nation  was 
rebuilt  its  sai  itary  systems  would  be  founded  upon 
British  and  French  examples.  The  Serbian  people 
generally  were  greatly  interested  in  Britain,  and 
when  they  got  back  to  tneir  own  land  there  would 
be  an  opening  for  British  trade  provided  our 
manufacturers  offered  to  Serbia  the  goods  she 
wanted. 


8o 


Zbc  British  3oiirnal  of  IRurstn^. 


August  3,   1918 


FRENCH  FUQ  NURSING  CORPS. 


CORDIAL     CONGRATULATIONS    FROM     HIS 
EXCELLENCY  THE   FRENCH  AMBASSADOR. 

Madame  la  Vicorritesse  de  la  Panouse,  the 
Pr6sidente  of  the  Comit6  Britannique  de  la 
Croix  Rouge  Fran9aise,  has,  on  behalf  of  His 
Excellency  M.  Paul  Cambon,  French  Ambassa- 
dor to  the  Court  of  St.  James',  and  the  whole 
Comit^  conveyed  to  the  Sisters  of  the  French 
Flag  Nursing  Corps  attached  to  Ambu- 
lance 12/2,  very  hearty  congratulations  both 
upon  the  honour  which  the  French  Government 
has    conferred    upon    them,    and    upon    their 


former,  when  Matron  of  Ambulance  Mobile  No.  i, 
earned  the  affection  of  every  member  of  the  Corps 
with  whom  she  came  in  contact,  and  is  a  shining 
example  of  what  a  military  nurse  should  be. 
She  is  back  in  her  old  place  and  everyone 
delighted  to  have  her  there.  A  Sister  writes  : — 
"  When  our  nice  General,  whom  we  have  known 
for  so  many  years,  recently  asked  us  to  a  theatrical 
performance,  and  particularly  asked  as  many  of 
us  as  possible  to  come,  it  was  a  wonderful  sight  to 
see  all  our  '  Poilus  '  in  their  azure  blues  and 
various  uniforms  in  this  pretty  theatre  ;  the  coup 
d'ceil  would  have  made  a  wonderful ,  painting. 
The  General  had  Miss  Warner  in  his  box,  and  he 
tcld  her  he  was  glad  to  see  us  all  back  with  them, 
and  hoped  we  should  never  leave  them  again.     It 


MI5S    MITCHELL.  AND    MIS5    WARNER,  5ISTERS    HANNINQ,   JONES    AND   QILL,     F.F.N.C, 

AMBULANCE.    16/21. 


admirable  devotion  to  duty  which  has  earned 
distinction  for  them,  for  the  Corps,  for  the 
Comit6,  and  for  their  country,  and  has  wished 
them  Godspeed  in  their  beneficent  service. 

The  seven  Sisters  will,  we  feel  sure,  value 
deeply  this  expression  of  appreciation  upon  the 
part  of  the  French  Ambassador  and  the  Comit6 
Britannique. 


Miss  Martha  Oakley- Williams,  R.N.S.,  has 
joined  the  Corps  and  has  been  posted  to  Lisieux, 
which  is  now  in  the  war  zone. 


Miss  Warner  and  Miss  McMurrich  have  rejoined 
Ambulance  16/21,  and  with  the  three  F.F.N.C. 
Sisters  ^re  happily  reunited  in,  their  work.     The 


is  so  nice  to  be  amongst  old  friends  and   to    be 
appre.  iated. 

"  Oil  July  4th  Miss  Warner  gave  a  party  to  the 
patients,  which  was  a  great  success,  a  very  nice 
dejeuner,  and  surprise  bags  for  all,  which  they 
greatly  enjoyed.  Our  surprise  came  later  when 
one  of  the  patients  came  forward  and  presented 
the  American  and  English  nurses  each  with 
wonderful  bouquets  of  crimson  ramblers,  lupins 
and  Easter  lilies  tied  with  "  Entente  "ribbon.  He 
made  a  most  charming  speech.  He  said  he 
wished  to  present  the  flowers  to  each  of  us  in  the 
name  of  the  patients,  on  this  great  day  of  Inde- 
pendence, and  said  how  much  tliey  all  appreciated 
their  English  and  Ameiican  brothers  having  come 
to  fight  by  their  side  for  the  great  cause  of 
Humanity,  and  for  Libeity,  and  Justice  and 
Right,   and  that  he  also  wished  to  thank  '  les 


August  3,   1 91 8 


ZTbe  3Brtti6b  3onrnal  of  IRurstuG. 


az 


bonnes  Damps  Infixraidres  Auglaises  et  Americaines 
pour  tout  leurs  grands  d^vouements  et  soins 
minuteuses  qu'elles  donneut  k  nous  tous,'  a 
most  beautiful  and  touching  speech.  They  gave 
a  sounding  '  Vive  TAngleterre '  and  '  Vive 
TAmerique  '  to  end  up  with.  They  really  are 
wonderlu],  our  Poilus.  1  don't  think  anyone 
knows  how  truly  wonderful  they  are  apait  from 
then  splendid  gallantry  ori  the  battlefield." 


"As  you  have  shown,  since  the  very  beginning  of 
the  war,  so  much  understanding  and  real  sympathy 
with  Fra^nce,  I  only  wish  you  could  see  the  joy  of 
these  dear  people  since  the  push  back  began," 
writes  a  Sister  in  the  war  zone.  "  Young  men 
a.nd  old  go  rollicking  by,  .l?.ughing  and  singing, 
with  garlands  of  flowers  round  tfteir  necks,  their 
camions  decorated,  an'd  the  horses — flower-decked 
too — prance  along  as  proud  as  can  be,  entirely  in 
the  know. 

With  what  marvellous  courage  the  French  have 
borne  their  burden  in  these  black  years  !  Is  it  any 
wonder,  now  that  they  know  that  the  tide  has 
turned — for  indeed  the  beginning  of  the  end  is  here 
and  now — ^that  their  spirits  rise,  and  after  super- 
human restraint  they  let  themselves  go  ? 

To  see  these  flower-decked  warriors  on  the  war- 
path fills  one  with  exultation.  We  know  victory 
will  be  their  rewajd. 

We  have  heard  much  of  supermen.  The  real 
supermen  in  this  war  are  not  the  brutes  who  ha.ve 
wallowed  in  carnage,  but  the  wonderful  patriots 
who,  in  resisting  them,  have  all  these  yea.rs  kept 
their  coura.ge,  and  their  faith,  and  their  spirits,  and 
their  souls — all  alive,  red  hot,  in  spite  of  hell  let 
loose,  the  murder  of  their  dear  ones,  the  dbvasta- 
tion  of  their  homes,  and  the  ruin  of  their  glorious 
mctouments.    ^  ^        ■ 

'We  British  Nurses  rejoice  to  serve  men  of  such 
mettle." 


CARE    OF    THE    WOUNDED. 


Mr.  Laurence  PhiUpps,  brother  of  Lord  St. 
Davids,  has  given  ^15,000  towards  homes  for 
paralysed  Welsh  Service  men. 

Sir  William  Osier,  Regius  Professor  of  Medicine 
at  Oxford  University,  unfuiled  the  American 
flag  at  the  new  hospital  for  United  Stales  soldiers 
at  Portsmouth. 


In  an  inspiring  speech  at  the  annual  meeting 
of  the  Order  of  St.  John,  the  Viceroy  referred 
to  the  magnificent  result  of  "  Our  Day  "  appeal — 
122  lakhs  {;^8i3,333).  The  attacks  by  the  Germans 
on  hospitals  provided  an  additional  reason  for 
ungrudging  help  to  the  Red  Cross.  If  the  need 
arose,  he  would  not  hesitate  to  make  another 
appeal  to  India,  confident  that  she  would  again 
rise  to   the   height   of   her   opportunities. 

The  Vicomtesse  de  la  Panouse  writes  to  the 
press  to  express  to  the  generous  people  of  Great 


and  Greater  Britain  her  heartfelt  thanks  for  their 
splendid  response  to  the  appeal  for  help  on  France's 
Day.  We  are  pleased  to  learn  that  the  gifts  aro 
likely  to  exceed  those  of  last  year. 


The  largest  purely  American  hospital  near 
London  will  be  located  in  the  grounds  of  Richmond 
Park,  on  land  given  for  this  purpose  by  the  King. 
The  hospital  itself  is  to  be  a  g^ ft  from  the  British 
Red  Cross.  It  will  stand  in  one  of  the  finest 
sylvan  sites  in  this  country,  situated  on  high 
ground  and  commanding  an  unequalled  view  of  the 
Thames  Valley  and  the  historic  countryside. 
It  is  intended  tha  c  the  institution  shall  be  the  finest 
example  of  a  hut  hospital  which  can  be  built  in 
the  light  of  the  experience  gained  since  the  war 
broke  out.  Wounded  Americans  in  hospital  in 
Great  Britain  are  visited  weekly  by  American 
women,  more  than  600  of  whom  in  all  parts  of 
England  are  now  enrolled  in  the  "  Care  Com- 
mittee "  of  the  American  Red  Cross.  For,  con- 
valescent soldiers,  the  "  Care  Committee  "  co- 
operates with  the  British  Hospitality  Committee 
in  organizing  excursions,  teas,  thea.tre  parties, 
and  similar  entertainments. 


M.  Clemenceau  has  awarded  the  Legion  of 
Honour  and  the  Croix  de  Guerre  to  Miss  Fraser, 
a  British  motor-driver,  who  was  wourded  while 
in  the  exercise  of  her  duties.  The  award  was 
a.ccompanied  by  the  following  glowing  tribute  to 
the  act  of  gaJlantry  which  earned  her  these 
decora.tions  :  "  Ordered  to  transport  wounded, 
she  accomplished  her  mission  under  a  violent 
bombardment,  and  though  sustaining  two  very 
serious  wounds  during  the  journey  she  had  the 
superb  courage  to  run  200  yards.  On  collapsing 
from  wea,kness,  she  was  transported  to  hospital 
to  undergo  an  operation,  but  insisted  upon  not 
being,  attended  to  before  the  wounded  for  whom 
she  was  responsible." 


Steel  traps,  equipped  with  spiings  of  bone- 
crushing  strength  and  j  agged  teeth  two  inches  long, 
are  being  used  by  the  Germans  to  catch  patrols  in 
"  no  man's  land."  Corporal  Leonard  Manser, 
U.S.  Army,  relates  how  he  discovered  one  at 
night  -in  an  unnamed  American -held  sector  and 
brought  the  tiap  to  their  trenches.  The  con- 
trivance is  three  feet  long,  and  ha.s  ja.ws  eighteen 
inches  wide,  with  teeth  two  inches  long.  It  is 
designed  to  give  the  victim  great  pain  and  make 
liim  call  for  help.  This  a.ttracts  bis  comrades, 
who  become  targets  for  a  German  macMne-gun 
fusillade,  which  results  in  the  anrihilatioc  of  the 
entire  party. 

When  wc  were  young  we  were  greatly  interested 
in  the  pictures  of  Chinese  tortures  which  vsed 
to  Hne  the  wa.lls  in  descending  to  the  dark  and 
gruesome  Chamber  of  Horrors  a.t  Madame  Tous- 
saud's.  But  why  go  so  far  afield  as  China  to  seek 
for  hideous  cruelty  ?  Germany  is  comparatively 
close  aivd  could  evidently  give  points  to  the 
heathen  Chinee. 


82 


Zbc  Sritt0t)  3ourtuil  of  flurdina. 


August  3,  1918 


NIGHTINGALE  NURSING  IN  FRANCE. 


PROGRESS    AT    THE    MAISON     DE    SANTE 
PROTESTANTE,    BORDEAUX. 

Of  all  the  world's  nursing  pioneers  since  the 
days  of  Florence  Nightingale,  none  has  perhaps 
had  a  harder  fight  than  Dr.  Anna  Hamilton  of 
Bordeaux.  Of  her  truly  it  can  be  said,  "  a  prophet 
is  not  without  honour,"  &c.,  and  the  reputation 
of  the  work  she  has  been  doing  for  18  years  is  now 
returning  to  France  via  the  U.S.A.  As  the  U.S. 
delegates  land  in  Bordeaux  and  visit  the  one  school 
of  nursing  run  nn  Nightingale  lines,  they  are  all 
astonished  that  such  a  splendid  work  has  not  had 
better  recognition,  and  the  French  are  astonished 
that  a  work  which  has  been  quietly  (and  almost 
unnoticed  in  their  midst)  establishing  itself  should 
be  so  well  known  in  the  States. 


example.  After  visiting  the  School  Major  Cabot 
asked  Dr.  Hamilton  how  much  it  cost  to  train  a 
nurse.  He  was  told  £1 10,  and  he  has  sent  her  that 
amount  and  the  following  charming  expression  of 
appreciation  : — 

"  '  1  believe  your  training  school  is  not  only  the 
best  in  Fiance,  but  one  of  the  best  in  the  world. 
With  more  money  and  a  better  hospital  it  could 
become,  under  your  management,  the  best.  I 
congratulate  you.  Richard  C.  Cabot.'  " 

The  scholarship  so  graciously  bestowed  by 
Major  Cabot  has  been  won  by  Mdlle.  Guelfucci  of 
Card. 

Miss  Emily  Kemp,  who  has  been  such  an 
indefatigable  worker  for  the  French  wounded 
since  the  beginning  of  the  war,  has  sent  Miss  Grace 
Ellison  .^100  to  train  a  nurse  tor  three  years  at 
Dr.  Hamilton's  hospital  at  Bordeaux.     Miss  Kemp 


NEW     DIPLOMEES    OP    THE    MAISON    DE    SANTE    PROTESTANTE. 


We  have  received  an  interesting  account  of  the 
recent  examinations  for  the  Nursing  Diploma  at 
this  school,  when  all  the  senior  pupils  weru 
eminently  successful. 

New    Diplom^es    of    the    Maison    de    Sante 
protestante,  bordeaux. 

Mdlle.  Long  (Nice),  Mdlle.  Casalis  (Paris),  Mdlle. 
Harrioo  (Port  Menois,  Finisterre),  Mdlle.  S61zer 
(Jonina,  Algeria),  Mdlle.  Midas  (Royau),  Mdlle. 
Coste  (St.  Etienne),  Mdlle.  Laverniez  (Clermont 
Ferrand),  Mdlle.  Chareusol  (St.  Croix  Voltee 
Frangais),  Mdlle.  Bravois  (Bonforitz,  Algeria), 
Mdlle.  Mentello  (Nice). 

The  examinations  in  which  Major  Richard 
Cabot  (Massachusetts  Hospital,  Boston),  Med. 
Chef  of  the  great  American  Hospital  at  Talence, 
took  part,  were  held  in  public,  and  the  day  ended 
with  a  deUghtful  dinner  and  concert.  Miss  Grace 
Ellison,  who  was  present,  writes  : — 

"  I  have  so  often,  in  the  '  B.J.N.'  spoken  of  the 
Americans   as   a   practical   people.     Here  is   an 


is  much  in  sympathy  with  this  plan  for  training 
nurses,  especially  when  the  candidates  are  what 
we  in  Great  Britain  call  "  the  right  sort."  So 
many  daughters  of  French  Protestant  pastors 
wish  to  take  up  nursing  as  a  profession,  but  their 
parents  have  not  been  able  to  pay  the  fees  ;  it  is 
for  women  like  these  that  Miss  Kemp's  money  will 
be  used  in  memory  of  Miss  Lydia  Kemp,  her 
sister,  who  has  just  died  and  who  worked  inde- 
fatigably  for  the  sick  and  poor  and  blind. 

By  and  bye  it  is  hoped  to  build  and  endow 
a  beautiful  hospital  and  Nursing  School  at  Baga- 
telle, the  property  left  by  INIdlle.  Bosc  to  the 
Maison  de  Sante  Protestante  at  Bordeaux. 
Under  the  direction  of  Dr.  Anna  Hamilton  this 
school  has  always  been  organised  on  the  Nightin- 
gale principles  of  nursing,  and  we  hear  that 
it  is  probable  that  the  now  school  will  be 
known  as  the  Florence  Nightingale  College  of 
Nursing.  ;^ioo,ooo  could  accomplish  magnificent 
results  if  only  it  was  to  hand.  We  have  great 
hopes  for  the  future. 


August  3,   igi8 


(Tbe  ©ritteb  3ournal  of  TFluretno. 


83 


LONDON    HOSPITAL    SYSTEM. 


How  It  Injures  the  Profession. 

In  the  House  of  Commons,  on  Thursday, 
July  i8th,  Major  Chappie  aiked  the  Under- 
Secretary  of  State  for  War  (i)  whether,  in  appoint- 
ing nurses  to  the  nursing  staff  of  the  Army,  any 
discrimination  is  made  against-  nurses  trained  in 
hospitals  that  farm  out  their  nur-cs  after  the 
end  of  their  second  yeai's  training,  taking  them 
away  from  their  training  in  the  wards  and  paying 
them  13s.  per  week  while  they  are  earning  £2  2s. 
for  the  hospital.  (2)  whether  the  certificate 
given  to  nurses  at  the  end  of  their  second  year's 
training  in  the  London  Hospital  is  accepted 
by  the  Army  nursing  authorities  as  qualifying  for 
appointment  to  the  Army  nursing  staff  ? 

Mr.  Macpherson,  in  replying,  said  :  The  regula- 
tions regarding  the  qualifications  for  appointment 
to  the  Queen  Alexandra's  Imperial  Military 
Nursing  Service  provide  that  a  candidate  must 
possess  a  certificate  of  not  less  than  three  years' 
training  and  service  in  medical  and  surgical 
nursing  in  a  civil  hospital  having  not  less  than 
100  beds.  Time  spent  in  private  nursing  is  not 
allowed  to  count  towards  the  qualifying  period  of 
three  years'  training.  The  answer  to  the  second 
question  is  in  the  negative. 

Major  Chappie,  on  July  25th,  asked  the  Under- 
Secretary  of  State  for  War  whether  the  certificate 
of  training  given  by  the  London  Hospital  is 
accepted  as  qualif^nng  for  appointment  to  the 
Army  Nursing  Service ;  whether  the  certificate 
states  that  the  nurse  has  had  not  less  than  three 
years'  training  in  the  hospital ;  whether  he  is 
aware  that  nurses  in  the  hospital  are  taken  from 
their  training  in  the  wards  and  are  sent  out  at  the 
end  of  their  second  year  to  nurse  private  cases 
for  the  purpose  of  appropriation  by  the  hospital 
of  not  less  than  29s.  per  week  of  their  earnings 
and  not  for  professional  training  ;  and  whether 
if  time  spent  in  private  nursing  is  not  allowed 
to  count  towards  the  qualifying  period  of  three 
years'  training,  any  steps  are  taken  to  discover 
what  period  of  the  years  of  training  in  the  case 
of  a  London  Hospital  nurse  applying  for  a  post 
in  the  Army  Nursing  Service  have  been  spent  in 
private  nursing  ? 

Mr.  Macpherson  said  :  In  reply  to  questions 
by  my  hon.  and  gallant  friend,  on  Thursday  last, 
I  stated  what  certificate  of  trainirfg  must  be 
possessed  by  candidates  for  appointment  to 
Queen  Alexandra's  Imperial  Military  Nursing 
Service.  Steps  are  always  taken  to  ascertain 
thata  nurse  has  completed  the  ileCessary  training. 

And  so  the  principle  at  issue — of  justice  to  the 
worker — is  befogged  every  time. 

The  fact  is  that  Miss  Liickes,  the  Matron  of  the 
London  Hospital,  is  permtited  to  use  the  nurses 
as  she  chooses — as  one  does  the  lint  and  the 
bandages  I  If  she  elects  to  send  thf  m  out  private 
nursing  to  make  money  for  the  hospital,  she  may 
do  so,  and  thus  disqualify  them  for  aU  the  higher 


positions  in  the  profession  for  which  a  three  years' 
certificate  of  training  is  obligatory. 

But  as  the  London  Hospital  has  always  had  so 
much  influential  representation  on  the  Nursing 
Board  of  Queen  Alexandra's  Imperial  IVliUtary 
Nursing  Service  the  rules  continue  to  provide 
a  loophole  for  the  admission  of  London  Hospital 
nurses  with  a  two  years'  certificate  and  service. 

It  is  high  time  all  these  iriegularities  and  privi- 
leges for  the  London  Hospital  were  abolished. 

The  London  should  train  a.nd  certificate  its 
nrrses  after  a  three  years'  systematic  training  in 
the  wards  ;  it  should  shut  down  its  "  nurse  farm  " 
or  work  it  on  the  co-operative  plan  for  the  benefit 
of  members  of  the  nursing  staff  who  have  gained 
a  thiee  years'  certificate.  Thousands  of  pounds 
would  be  thus  paid  to  the  workers  instead  of  in 
support  of  the  charity,  and  to  provide  huge 
salaries  for  senior  officials. 

The  Nursing  Board  of  Q.A.I.M.N.S.  should 
cease  to  pander  to  the  commercial  regime  of  the 
London  Hospital,  establish  the  standard  of  the 
three  years'  certificate,  c.nd  cease  to  recognise 
"  service,"  whatever  that  may  mean.  Incident- 
ally, the  senior  and  best  paid  pests  in  the  service 
should  not,  in  the  future,  be  reserved  for  London 
Hospital  trainees,  who  carry  on  the  obsolete 
traditions  of  their  Alma  Mater. 


GIVING  DIRECTIONS  TO  PARLIAMENT. 

In  discussing  the  Maternity  and  Child  Welfare 
Bill  recently  in  Committee  in  the  House  of  Com- 
mons, the  Chairman  ruled  out  of  order,  on  the 
ground  that  it  would  be  giving  directions  to 
Parliament  in  regard  to  future  legislation,  a  new 
clause,  which  Sir  W.  Cheyne  and  Major  Hills  had 
given  notice  of  their  intention  to  propose,  pro- 
viding that  on  the  appointment  of  a  Minister  of 
Public  Health,  the  powers  and  duties  conferred  and 
imposed  by  the  Bill  on  the  Local  Government 
Board  or  on  the  President  thereof  should  be  tians- 
ferred  forthwith  to  the  Minister  of  Public  Health. 

We  have  pointed  out  the  unparUamentary 
proceeding  of  the  Council  of  th'^  College  of  Nursing 
in  pledging  Parliament  in  their  prospectus  to 
nurses  as  an  inducement  to  register  with  the 
College— 

(i)  "If,  therefore"  (the  prospectus  states),  "you 
are  on  the  College  Register  you  will,  automatically, 
and  without  further  fee,  be  placed  upon  the  State 
Register,  when  the  '  Nurses  Registration  Bill '  is 
passed." 

Thousands  of  nurses  have  been  induced  to  join 
the  College  on  this  printed  promise,  which  is 
"  giving  directions  to  Parliament  in  regard  to 
future  legislation  "  concerning  which  it  has  never 
been  consulted,  and  which  it  may  very  naturally 
repudiate. 

Miss  Matheson,  the  Secretary  of  the  Irish  College 
Board,  in  her  pamphlet,  is  even  more  unconstitu- 
tional in  her  pie-crust  pledges. 

Parliament  is  very  jealous  of  its  prerogatives,  as 
people  presuming  to  deal  with  legislation  shojuld 
be  well  aware. 


84 


TLl)c  Britisb  3ournal  of  "Wursino. 


August  3,   1 91 8 


THE  BANNER  OF  QUEEN  ALEXANDRA'S 
IMPERIAL  MILITARY  NURSING  SERVICE 

Queen  Alexandra,  accompanied  by  the  Princess 
Victoria,  was  present  on  Monday  at  a  service  for 
the  dedication  of  the  banner  of  Queen  Alexandra's 
Imperial  Military  Nursing  Service,  which  was 
hung  in  the  Royal  Albert  Hall  on  the  occasion  of 
the  commemoration  of  the  First  Seven  Divisions, 
which  was  held  in  the  Chapel  of  the  Queen 
Alexandra  Military  Hospital,  Millbank. 

The  banner  was  handed  over  to  the  custody  of 
Queen  Alexandra's  Imperial  Military  Nursing 
Service. 

The  service  was  conducted  by  the  Archdeacon  of 
London  (the  Venerable  E.  E.  Holmes),  the  Rev.  R. 
Bartlett  (Chaplain  to  Queen  Alexandra  Hospital 
for  the  Nursing  Service),  and  the  Rev.  J.  C. 
Knapp  (Chaplain  to  the  Queen  Alexandra  Military 
Hospital). 

Queen  Alexandra  afterwards  visited  the  sick  and 
invalid  nurses  who  are  patients  in  the  hospital. 


OUR    ROLL    OF    HONOUR. 

NURSING    SERVICE. 
Wounded. 
Wright,  Sister  M.,  B.R.C.S. 


THE    MILITARY  MEDAL. 

The  London  Gazette  of  July  30th  publishes  the 
names  of  38  ladies  (mostly  trained  nurses)  who 
have  been  awarded  the  Military  Medal  for  dis- 
tinguished services  in  the  field,  in  connection 
with  the  bombin,!^  of  hospitals  in  France. 


APPOINTMENTS. 

MATRON. 

General  Hospital,  Cheltenham. — ^Miss  L.  C.  Fox- 
Da.vies  ha.s  been  appointed  Matron.  She  was 
trained  at  the  General  Hospital,  Birmingham,  and 
has  held  the  positions  of  W?jd  Sister,  Thea,tre 
Sister,  Xight  Sister,  and  Home  Sister  at  the 
General  Hospital,  Cheltenham. 

Home  of  Recovery,  Allerton  Tower,  Liverpool. 
—  IVIiss  Grace  C.  May  wood  has  been  appointed 
Matror.  She  was  trained  at  ^he  Manchester 
Royal  Infiirna.ry,  and  has  been  Assistant  Matron, 
British  Red  Cross  Hospital,  Xetley  ;  Matron,  Ufra- 
combe  Private  Nursing  Home  ;  and  was  for  three 
years  previous  to  taking  up  wa.r  work,  on  the  Staff 
of  the  London  Association  of  Nurses. 

THEATRE   SISTER. 

Royal  Albert  Edward  Infirmary,  Wigan.  —  Miss 
Henrietta  Follevaag  has  been  appointed  Theatre 
Sister.  She  was  trained  at  the  Royal  Albert 
Edward  Infirmary,  and  has  done  private  nursing. 

SISTER. 

Royal  Albert  Edward  Infirmary,  Wigan. — Miss  S.  A- 
Eddy  has  been  appointed  Sister.  She  was  trained 
at  the  Royal  Infirmary,  Shefl&cld. 


"  BRITISH    NURSES  AND  THEIR  FIGHT 
FOR  FREEDOM." 

Under  the  above  heading  the  American  Journal 
of  Nursing  just  to  hand  publishes  an  admirable 
letter  by  Miss  Beatrice  Kent,  placing  clearly  before 
our  American  colleagues  the  situation  in  this 
country  in  regard  to  the  College  of  Nursing,  Ltd., 
and  British  nurses.  Trained  nurses  in  this  country 
owe  a  debt  of  gratitude  to  the  editor  of  our  con- 
temporary for  the  space  she  has  devoted  to  making 
the  position  plain  to  our  American  colleagues,  and 
to  Miss  L.  L.  Dock  and  Miss  Beatrice  Kent,  most 
forceful  of  advocates,  for  their  articles. 


NOCTURNE. 

{In  a  Nursing  Home.) 

Grey  scudding  clouds  and  a  sodden  sky, 
The  distant  sound   of  the  rolling  sea. 

And   on   my   back  in   ray   bed  I  lie, 
Counting  the  hours  to  early  tea. 

The  trees  outside  fling  back  and  fro, 
Whipt   by    the   early   morning   wind  ; 

And  Time  is  moving  remarkably  slow, 
And  night  is  long   and  far  from  kind. 

And   all  the  ghosts   of  long  ago. 

They  gather  around  with  much  to  say  ; 

They   gather   around   and   bother   me   so. 
And  the  bed  feels  hard — I  wish  it  were  day. 

The  stars  grow  faint  and  the  sky  grows  light, 
The  first  tram  rumbles   along   its  way  ; 

Past  and  gone  is  the  weary  night,     . 

And — surely   that   is   nurse   with   the   tray. 

^M.    MOLLETT. 

NO  FLOWERS  BUT  A  CROWN. 

{Lines  beneath  a  picture  of  our  Lord ;    quoted  in  a 
recent  sermon  by  the  Rt.  Rev.  the  Bishop  oj  Edinburgh.) 

I   said,     "  let   me   walk   in   the   fields  "  ; 
He  said,     "  nay,   walk  in  the  town  "  ; 
I   said,     "  there  are  no  flowers   there  "  ; 
-    He  said,    "  no  flowers  but  a  crown  "  ; 
I   said,     "  but  the   skies  cire  black, 
There   is  nothing   but   noise   and   din  "  ; 
Biit  He  wept  as  He  sent   me  back, 
"There   is   more,"     He   said,     "there   is   sin." 

I   said,     "  but   the   air   is.  thick. 

And  fogs  are  veiling   the  sun  "  ; 

He  answered,     "  yet  hearts  are  sick, 

And   souls  in  the   dark   undone." 

I   said,     "  I  shall   miss   the   light, 

And.  friends  will  miss  me,   they  say  "  : 

He   answered   me,     "  choose  to-night. 

If   /  am   to   miss  you,    or   they." 

I  pleaded  for  time  to  be  given  ; 

He  said,     "is  it  hard  to  decide  ? 

It  will  not  seem  hard  in  Heaven 

To    have   followed   the   steps   of  your    Guide." 

Then  into  His  hand  slipped  mine 
And  into   my   heart  came   He. 
And  I  walked  in  the  light  Divine 
The  path  I  had  feared  to  see. 

{From    "Nurses  Near  and  Far.'')] 


August  3,   1918 


Ebe  Britlsb  3ournal  of  iRursinQ. 


85 


NUkSiNG    ECHOES. 

The  Report  of  Lady  Minto's  Indian  Nursing 
Association  for  191 7  records  the  retirement  in 
May  of  Mrs.  Davies,  Chief  Lady  Superinten- 
dent of  the  Association  since  its  earliest  days, 
and  the  appointment  of  Miss  R.  E.  Darbyshire, 
R.R.C.,  as  her  successor.  It  places  on  record 
that  Mrs.  Davies'  zeal  and  devotion  have 
proved  of  the  greatest  service,  and  the  perfect 
order  in  which  she  left  the  affairs  of  the  head 
office  is  an  eloquent  testimony  to  her  business 
capacity  and  years  of  hard  work. 

A  scheme  has  been  inaugurated  for  maintain- 
ing small  nursing  homes,  principally  for 
maternity  cases,  in  Simla  and  Delhi.  It  is 
anticipated  that  these  Homes  will  meet  a  real 
need. 

The  Chief  Lady  Superintendent  states  in  her 
report  that  the  greatest  difficulty  encountered 
during  the  year  has  been  the  serious  depletion 
of  the  nursing  staff,  and  the  impossibility  of 
supplying  the  needs  of  the  Association  from 
England.  Though  short-handed  the  branches 
have  done  a  great  deal  of  good  work,  and  seven 
members  of  the  staff  loyally  remained  on  after 
the  expiration  of  their  contract,  in  spite  of  the 
attractions  of  other  branches  of  their  profes- 
sion. 

The  fees  charged  to  patients  have  been  raised 
by  I  rupee  per  diem,  and  the  salaries  of  the 
nursing  staff  raised.  The  Lady  Superinten- 
dents of  the  Provincial  branches  receive  an 
additional  30  rupees  per  month,  Sisters  an 
increase  of  10  rupees  per  month  in  the  third  and 
fourth  year,  and  a  further  increase  of  10  rupees 
a  month  in  the  fifth  year  of  service. 

The  commencing  salaries  of  Nursing  Sisters 
have  also  been  increased  to  90  rupees  a  month, 
increasing  annually  till  135  rupees  a  month  is 
reached  in  the  tenth  year. 

The  rules  relating  to  the  engagement  and 
employment  of  Nursing  Sisters  have  been 
revised,  and  those  relating  to  agreement,  dis- 
cipline, and  refunds  made  somewhat  more 
stringent. 

The  value  of .  the  skilled  help  of  trained 
Sisters  cannot  be  too  highly  estimated,  and 
there  is  evidence  that  they  are  appreciated. 
Thus  in  connection  with  the  Rajputana  Branch 
the  reports  of  medical  officers  and  patients  are 
said  to  be  invariably  commendatory  and  fre- 
quently laudatory.  "  Anxiety  disappears  when 
your  well-trained  Sisters  take  charge  of  a  case  " 
is  a  typical  instance. 

As  usual,  the  report  is  admirably  produced 
and  illustrated. 


organized  by  Miss  Charlotte  M.  Markwick,  and 
sent  to  the  Governors  of  the  Victoria  Infirmary, 
Glasgow,  the  scale  of  the  salaries  of  the  nursing 
-staff  has  been  substantially  raised  : — 

In  the  I  St  year  from     ...     £12 — ;£i6. 

In  the  2nd  year  from      ...     £16 — £20. 

In  the  3rd  year  from      ...     ;^2o — £2^. 

In  the  4th  year  from     ...     £^0 — £^0. 

For  the  Sisters  from  ...  ;,^45 — ;)^6o. 
There  are  other  points  which  the  nurses 
would  like  to  bring  before  the  Governors,  but 
are  hampered  in  their  action  for  lack  of  legal 
advice.  This  is  one  of  the  things  which  they 
hope  may  be  made  available  when  their  new 
Club  is  opened  in  Bath  Street. 


We  are  glad  to  learn  that,  owing  to  a  Petition 


We  are  always  seeing  nonsensical  para- 
graphs in  the  quack  nursing  press  and  else- 
where, making  statements  about  our  views  and 
opinions,  which  we  have  never  expressed — • 
penny-a-line  trash  which  presumably  is  good 
enough  for  the  type  of  p>erson  who  reads  these 
unprofessional  publications. 

If  anyone  cares  what  we  think,  and  wishes 
to  know  what  we  say,  we  advise  them  to  sub- 
scribe to  this  Journal.  They  would  then  not 
be  fobbed  off  with  twaddle. 

LEAGUE  NEWS. 

The  second  number  of  the  League  News  of 
the  Royal  Infirmary,  Bradford,  just  issued, 
contains  many  interesting  items,  including  a 
Foreword  by  Major  Phillips,  Hon.  Surgeon  to 
the  Infirmary,  who,  talking  on  Reconstruction, 
says  that  one  feels  quite  sure  that  after  the 
war,  as  before  it,  and  during  it,  there  will  be 
reason  to  be  proud  of  the  work  of  nurses,  and 
that  any  woman  who  takes  up  that  work  will 
•be  employing  herself  in  a  profession  in  which 
she  can  find  occupation  for  all  that  is  in  her. 
The  fortunate  people  in  the  world  are  surely 
those  whose  work  is  also  their  hobby.  The  first 
essential  of  a  hobby  is  that  its  possibilities  can 
never  be  exhausted ;  it  must  be  an  El  Dorado 
which  is  unattainable.  .  .  .  The  zest  of  the 
business  lies  in  the  fact  that,  however  splendid 
the  collection  may  be,  it  is  always,  will  always 
continue  always  to  be  possible  to  improve  it. 
And  so  with  nursing.  There  are  many  nurses 
who  know^  a  tremendous  lot  about  nursing.  It 
has  been  my  privilege  to  know  not  a  few  nurses 
whose  work  has  been  just  splendid  ;  but  there 
has  never  been  a  nurse  who  was  a  perfect  nurse 
in  the  sense  that  she  knew  all  there  was  to 
know  about  nursing. 

Amongst  the  letters  from  nurses  that  by  Miss 
M.  Wroe  on  A  Visit  to  Seville  is  specially 
interesting. 


86 


^be  Britieb  3ournal  of  flureinfi. 


August  3,   1918 


A     MODERN     INDUSTRY. 


THE  PREPARATION  OF  CONDENSED  MILKi 

Most  people  are  familiar  with  the  appearance  of 
a  tin  of  Kestl^'s  milk,  for  this  far-famed  brand 
is  used  all  over  the  world  ;  but  probably  compara- 
tively few  people  know  precisely  of  what  this  milk 
consists  or  how  it  is  prepared.  ^ 

It  was  my  good  fortune  to  see  the  process  under 
ideal  conditions  at  the  Aylesbury  Condensery, 
one  of  the  most  important  of  the  English  factories 
of  the  Nestle  and  Anglo-Swiss  Condensed  Milk 
Company,  St.  George's  House,  6  &  8,  Eastcheap, 
London,  E.C. 

An  hour's  run  from  London  with  only  a  stop  at 
Harrow,  with  its  far-famed  hill  and  steeple- 
crowned  church,  brought  us  to  Aylesbury,  the 
courty  town  ot 
Buckingham- 
shiie,  with  its 
interesting  mar- 
ket-place where 
stands  conspic- 
uous the  virile 
statxi'e,in  bronze, 
of  John  Hamp- 
den, known  to 
fame  as  ttie 
Buckingham- 
shire patriot 
who  refused  to 
pay  the  '  ship 
money  '  levied 
by  Charles  1,  and 
whose  honour- 
able public  and 
private  life  was 
ended  at  Chal- 
grove  Field 
where  he  fell 
mortally  wound- 
ed in  a  skirmish 

with  the  King's  troops  under  Prince  Rupert. 
The  verdure  of  the  surrounding  country  and 
the  luxuriance  and  beauty  of  the  creepers  on 
many  of  the  houses  of  Aylesbury  made  one  realize 
that  the  valley  in  which  it  is  situated  must  be 
ideal  for  dairy  purposes,  and  one  was  not  surprised 
at  its  widespread  reputation  as  a  centre  of  dairy 
farming. 

Manifestly,  the  Anglo-Swiss  Milk  Company  did 
wisely  to  plant  a  Condensery  just  here. 

Its  object  is,  of  course,  to  procure  fresh,  rich 
milk,  and  to  preserve  it  under  hygienic  conditions 
in  portable  form,  so  that  it  can  easily  be  trans- 
ported far  and  wide. 

Milk,  as  originally  drawn  from  the  cow,  contains 
approximately  87.55  per  cent,  of  water  ;  therefore, 
if  you  can  eliminate  a  considerable  proportion 
of  that  water,  which  can  be  replaced  by  the 
consumer  before  use,  you  have  solved  the  problem 
of  portability  and  easy  distribution,  and  this  is 
what  is  done  so  successfully  at  Aylesbury,     The 


AYLESBURY    CONDENSERY,   FROM  THE    OFFICE   GARDEN. 


full-cream  condensed  milk  sert  out  from  the 
factory  contains  only  24  per  cent,  water,  the 
odd  63  per  cent,  being  extracted  in  the  process 
of  condensation. 

Many  things,  however,  must  contribute  to  the 
perfection  of  the  finished  product ;  and  essentially 
the  quality  and  purity  of  the  milk  condensed. 
Therefore,  supervision  by  the  management  begins 
before  the  milk — drawn  as  by  a  magnet  from  the 
surrounding  farms — enters  the  factory  gates, 
and  inspectors  frequently  visit  the  farms  under 
contract  to  supply  the  factory  with  milk,  so  as  to 
ensure  that  only  milk  of  fine  quality,  dealt  with 
under  sanitary  and  hygienic  conditions,  is  used. 

It  is  interesting  to  see  the  milk  arriving  at  the 
Condensery  in  great  cans,  and,  contrary  to  one's 
pre-conceived  ideas,  not  measured,  but  weighed, 
in  huge  copper  pans,  so  that  the  ?mount  sent  in 
by  each  farmer  can  be  correctly  estimated  ;   from 

these  it  passes 
on  to  a  reservoir, 
from  which  it  is 
pumped  up  into 
grea,t  tanks. 

One  next^saw 
the  care  with 
whichthe  empty 
cans  a,re  treated 
before  being  re- 
turned to  the 
farmers.  First 
t  h'  e  y  are 
t  hor  o  u  g  hly 
cleansed  in  hot 
water  by  brush- 
es, one  of  which 
rotates  inside, 
and  the  other 
scrubs  the  out- 
side of  the  can, 
which  is  then 
turned  upside 
down  and  a 
jet  of  steam 
sprayed  into  it. 

To  return  to  the  milk.  On  leaving  the  re- 
ceiving tanks  it  is  raised  to  a  temperature  suffi- 
ciently hot  to  dissolve  the  sugar  which  is  added  to 
it  as  a  preservative,  although  the  "  Ideal  Milk," 
the  brand  supplied  to  the  Navy  and  Army  has  no 
sugar  or  other  preservative  added.  It  is  found  in 
practice,  however,  that  when  used  for  infant 
feeding,  the  sweetened  milk  ordinarily  gives  the 
best  results.  In  these  days  of  the  strict  rationing 
of  sugar,  to  pass  through  a  room  containing  sack 
upon  sack  of  glistening  white  sugar,  is  calculated 
to  arouse  feelings  of  envy,  but  the  whole  of  the 
supplies  to  the  Nestle's  Factories  are  "  controlled." 
After  the  addition  of  the  sugar  the  milk  is  passed 
through  a  series  of  fine  sieves,  so  that  any  fibre  or 
other  foreign  body  inadvertently  introduced  from 
the  sugar  bags  is  refmoved. 

Condensing. 
Then  comes  the  all-important  process  of  .con- 
densing.    For  this  purpose  the  hot  milk  is  drawn 


August  3,  1918 


(The  British  Sournal  of  IRurema. 


87 


into  copper  condensing  pans  from  which  the  air  is 
exhausted,  and  which  contain  a  series  of  copper 
coils  heated  by  steam,  by  which  means  the  milk  is 
raised  to  boiling  point.  But,  it  must  be  realised, 
for  it  is  very  important,  that  in  a  vacuum  the  milk 
boils  at  about  half  the  temperature  at  which  it 
would  do  so  if  ti  eated  in  the  ordinary  way,  and, 
therefore,  is  not  heated  sufficiently  to  destroy  the 
vitamines  which  are  so  essential  if  it  is  to  be  relied 
upon  as  the  sole  food  of  the  growing  infant.  In 
the  condensing  pans  a  considerable  proportion  of 
the  water  in  the  milk  is  converted  into  steam  and 
removed  in  this  form,  to  be  later  cooled  and  re- 
converted into  water.  It  will  be  thus  realised  that 
Nestle's  Milk  is  simply  pure  milk,  sweetened  and 
condensed,  and  that  its  thickness  is  due  solely  to 
the  extraction  of  water,  and  not  to  the  addition  of 
any  thickening. 

When  the  milk  has  been  condensed  it  is  trans- 
ferred from  the  condensing  pans  to  large  cans,  and 
cooled  down  in  large  tanks  of  cold  water,  by  a 
method  which  ensures  that  the  cooling  shall  be 
uniform.  The  process  is  now  complete,  and  it  is 
put  up  in  tins  by  deft-handed  girls. 

The  tins  are  made  on  the  premises,  and  the 
process  is  an  inteiesting  one.  First  the  sheets  of 
tin  are  cut  the  required  length  by  machinery,  and 
each  stiip  soldered  to  form  the  bodj'  of  the  can. 
The  top  and  the  bottom — ^with  a  small  hole  for 
filling  the  tin  later — are  also  stamped  out.  These 
are  then  soldered  together  ard  the  can  is  ready  for 
filling,  but  first  i+  is  tested  to  see  if  it  is  airtight,  and 
any  defect  in  the  soldering  is  remedied  by  hand. 
The  tins  are  then  filled  and  soldered,  labelled, 
wrapped  in  paper,  and  packed  in  wooden  boxes, 
also  made  on  the  premises. 

Nurses  travelling  with  patients  by  sea  would 
be  well  advised  to  take  with  them  a  supply  of 
Nestle's  Milk,  as  it  is  often  a  very  great  difficulty 
to  obtain  fresh  milk  for  invalids. 

In  addition  to  Nestle's  Milk,  their  Milkmaid 
Brand  Cafe  au  Lait  is  made  at  the  Aylesbury 
Factory,  and  we  see  the  green  coffee  berries  roasted 
to  a  deep  brown  over  the  glowing  embers  in  a  great 
furnace  by  giils  who  carefully  watch  and  turn 
them.  They  are  then  ground,  and  the  strong 
cofEee,  when  made,  added  in  proper  proportions  to 
the  milk,  which  is  then  condensed.  Cocoa  and 
milk  is  another  "  Milkmaid  Brand." 

Is  it  now  clear  to  our  readers  that  Nestle's  Milk 
is  pure,  rich  milk  from  which  nothing  has  been 
eliminated  but  water — so  that  it  may  be  the  more 
easily  transported — under  the  most  hygienic  con- 
ditions, and  to  which  nothing  has  been  added 
except  piure  sugar  ?  It  follows  that  it  must  be  a 
boon  indeed  to  those  mothers  who  are  unable  to 
nurse  their  own  children,  and  whose  milk  supply 
is  of  uncertain  purity. 

If  we  consider  the  average  milk  supply  of 
London,  foi  instance,  the  method  of  its  transporta- 
tion for  long  distances  in  cans  of  uncertain  cleanli- 
ness, in  hot  trains,  audits  subsequent  exposure  on 
the  counters  of  shops  and  elsewhere,  we  must 
realise  that  Nestle's  milk,  prepared  under  such  con- 
ditions as  I  have  described,  is  an  infinitely  safer  and 


more  reliable  preparation  to  use  than  a  large  pro- 
portion of  the  milk  supply  of  the  metropolis.* 

The  firm,  in  "  Nestle's  Baby  Book,"  issues 
anniaUy  some  very  valuable  information  on  the 
subject,  with  the  testimony  of  thousands  of 
mothers  who  have  used  Nestle's  Milk  for  their 
children.  In  eight  years  3,572  children  were  thus 
reported  on.  Investigation  showed  that  of  this 
number  73  had  died  from  disease,  7  from  accidents, 
25  were  unwell  at  the  time  the  report  was  made, 
and  3,467  children  were  in  perfect  health.  To 
accurately  appraise  this  most  remarkable  record 
is  must  be  iememb6red  that  in  a  considerable 
proportion  of  these  cases  the  children  were  given 
Nestl6's  Milk  practically  as  a  last  resort,  when  no 
other  food  could  be  tolerated,  and  that  the  average 
mortality  of  town-born  children,  between  the  ages 
of  one  and  five  yeais,  is  one  in  six.  The  pictures 
of  the  children  with  which  the  book  is  abundantly 
illustrated,  also  show  how  bonnie  are  many  of  the 
.children  brought  up  on  Nestle's  Milk. 

A  particularly  interesting  book  at  the  present 
time  published  by  the  firm  is  "  Heroes  All."  It 
must  be  remembered  that  Nestle's  Milk  has  now 
been  on  the  market  for  over  fifty  years,  therefore 
many  babies  brought  up  upon  it  have  long  since 
grown  to  man's  estate.  "  Heroes  All  "  is  a  selec- 
tion of  voluntary  testimony  from  mothers  of  men 
fighting  for  their  country  in  the  Great  "War.  In 
addition  to  its  valuable  testimony  to  the  virtue  of 
Nestl6's  Milk,  the  collection  of  so  many  portraits 
of  our  gallant  soldiers  and  sailors  must,  in  years 
to  come,  form  a  valuable  historical  record. 

A  word  of  caution  is  necessary.  When  I  speak  of 
Nestl6's  Milk  as  a  valuable  and  reliable  substitute 
for  breast  feeding  when  this  is  impossible,  I  mean 
Nestle's,  and  not  any  other  brand  of  condensed 
milk.  Nestl6's,  as  I  have  shown,  is  a  full-cream 
milk  scientifically  condensed.  But  from  some 
brands  of  condensed  milk  placed  on  the  market 
the  cream,  or  a  large  proportion  of  it,  has  been 
extracted  before  it  has  been  condensed.  A  baby 
brought  up  on  such  milk  would  not  thrive,  any 
more  than  it  would  if  fed  with  uncondensed  skim 
milk. 

Of  course,  Nestle's  Milk  has  a  much  wider  sphere 
of  usefulness  than  the  feeding  of  infants,  witness 
the  fact  that  the  "  Ideal  Milk  "  is  supplied  to  the 
Services  in  large  quantities,  besides  being  greatly 
in  demand  by  the  general  public.  Lastly,  I  must 
mention  that  the  Nestle's  Anglo-S-wiss  Condensed 
Milk  Company  were  eight  or  nine  years  ago 
granted  the  Royal  Warrant  of  Appointment,  an 
honourable  recognition  which  its  services  to  the 
community  have  certJiinly  merited.  j^j    g 


Mrs.  Hayes  Fisher  opened  Parkside  Orthopaedic 
Hospital  for  Wounded  Officers,  Ravenscourt  Park, 
Hammersmith,  on  July  25th. 


•  According:  to  77ie  Times  of  July  31st,  the  Hammersmith  Public 
Health  Committee  states  that  "there  is  evidence  to  prove  that 
milk  is  deliberately  and  scientifically  reduced  to  the  lowest  possible 
standard  so  far  as  fatty  substances  are  concerned.' 


^be  British  3ournal  of  TRursino, 


August  3,   1918 


OUTSIDE    THE    GATES. 


THE    ENEMY    ALIEN     DANGER. 

There  is  no  doubt  in  the  minds  of  those  who 
attended  the  Internment  of  Enemy  Aliens  Meeting 
in  Hyde  Park  last  Sunday  that  the  Government  is 
playing  with  fire,  in  not  carrying  into  efifect  the 
will  of  the  people  in  the  most  drastic  manner. 
The  people  has  now  made  up  its  mind  that  for  the 
safety  of  the  Realm  all  enemy  aliens  of  every  class, 
rich  and  poor,  should  be  placed  behind  barbed  wire, 
and  the  uncontrolled  rage  of  a  mob  of  some 
hundreds  of  persons  in  the  Park,  from  whom  the 
police  had  to  rescue  a  dissenting  German,  proves 
thai;  its  patience  is  used  up,  and  that  the  devilish 
devices  of  barbarians  are  no  longer  to  be  tolerated. 
What  with  the  torture  of  our  defenceless  prisoners, 
the  wholesale  violation  of  women  and  children,  the 
murder  of  our  seamen  nurses,  and  doctors,  man- 
traps and  other  villainy,  the  British  public  is  now 
thoroughly  roused,  and  all  feeble  fumblers— other: 
wise  professional  politicians— will  rue  the  day  d 
they  continue  their  effete  treatment  of  these 
insolent  traitors. 


The  House  of  Lords  in  its  debate  echoed  public 
opinion.  "  Denaturalise  them  all,  remove  them 
from  high  places,  from  the  Privy  Council,  Parlia- 
ment, and  Government  Departments  "—that  is  the 
sound  advice  of  Lord  St.  Davids,  and  many  noble 
Lords  supported  him. 

An  Insult  to  every  Soldier  and  Officer  in 

His  Majesty's  Service. 
In  the  Commons  Mr.  Swift  MacNeill  asked  the 
Prime  Minister  whether  Mr.  Felix  Cassel,  K.C., 
had  resigned  or  intimated  his  intention  of  resigning 
the  position  of  Judge  Advocate-General,  to  which 
he  was  appointed  in  1916;  and,  if  so,  whether, 
regard  being  had  to  the  fact  that  the  Judge 
Advocate-General  was  the  president  of  the  judicial 
department  of  the  Army  and  the  sole  representative 
of  the  Government  in  all  military  proceedings 
before  general  Courts-martial,  maintaining  the 
interests  of  the  Crown  and  prosecuting,  either  in 
person  or  by  deputy,  in  the  Sovereign's  name,  and 
that  all  matters  arising  out  of  the  administration 
of  martial  law,  including  the  examination  of  the 
sentences  of  Courts-martial  and  the  reporting 
thereon  to  the  Crown,  come  under  his  supervision, 
the  new  occupant  of  the  position  of  Judge-Advo- 
cate-General would  not,  whatever  might  be  his 
qualifications,  be  a  person  of  enemy  alien  birth  or 
origin. 

The  Chancellor  of  the  Exchequer  replied  that 
Mr.  Felix  Cassel  had  not  resigned. 

After  which  Mr.  MacNeill  very  pertinently  asked  : 
Is  the  right  hon.  gentleman  aware  that  having  a 
gentleman  of  alien  origin  and  birth  in  full  com- 
mand of  Courts-martial  is  an  insult  to  every  soldier 
and  officer  in  His  Majesty's  Service? 

It  is  more  than  that — it  is  an  insult  to  every 
patriotic  person  of  British  blood  in  the  Empire. 


As  the  Aliens  Advisory  Committee  set  up  by  the 
Government  is  to  sit  in  camera,  and  the  public  pre- 
vented from  knowing  the  whole  truth,  it  is  pro- 
posed to  form  a  new  Parliamentary  Watch  Com- 
mittee, and  also  to  .establish  local  vi'atch  com- 
mittees. This  is  very  significant.  If  we  remember 
aright,  it  was  the  Committees  of  Public  Safety 
which  took  the  law  into  their  own  hands  during 
the  Terror.  Well,  we  have  had  enough  of  the 
Terror,  and  we  mean  to  protect  ourselves  from  the 
crafty  treachery  of  the  thousands  of  Huns  in  our 
midst,  especially  from  the  result  of  their  system  of 
"peaceful  penetration,"  which  spells  bribery  and 
corruption. 

■  •  ■  — 

BOOK    OP   THE   WEEK. 


"ON  THE  EDGE  OF  THE  WAR  ZONE.".* 

Those  of  us  who  read  with  pleasure  and  gratifica- 
tion "  A  Hill -top  on  the  Marne,"  will  welcome 
the  new  volume  by  Miss  Mildred  Aldrich,  in  which 
she  relates  the  continuance  of  her  most  interest- 
ing experiences  within  the  war  zone,  in  her 
little,  hitherto,  peaceful  retreat,  "  The  Crest  "  on 
the  hill-top. 

This  very  talented  lady  has  not  only  had  almost 
a  unique  position,  but  is  able  to  give  her  impres- 
sions of  three  years  in  a  most  attractive  and  yet 
quite  natural  way.  This  is,  perhaps,  explained 
because  the  book  consists  of  letters  written  by 
her  to  a  friend  in  America.  It  will  be  remembered 
that  Miss  Aldrich  is  herself  of  American  birth. 
This  volume  has  the  advantage  of  a  charming 
little  drawing  of  "  La  Creste  "  on  the  title-page, 
and  also  a  map  of  the  surrounding  neighbourhood, 
so  that,  with  the  aid  of  them,  added  to  her  graphic 
description,  we  are  able  in  some  measure  to  picture 
to  ourselves  the  incidents  so  charmingly  recorded. 
The  period  covered  is  from  that  immediately 
following  the  battle  of  the  Marne  to  the  entering 
in  of  the  Stars  and  Stripes. 

Her  little  French  friend,  Mdlle.  Henriette, 
proposes  "  that  I  should  harness  Ninette  and  go 
with  her  to  the  battle-field,  where,  she  said,  they 
were  sadly  in  need  of  help.  At  first  it  seemed 
to  me  that  there  was  nothing  to  do  but  go,  and 
go  quickly.  But  before  she  was  out  of  the  gate, 
I  rushed  after  to  tell  her  I  knew  they  did  not  want 
an  old  lady  like  me,  very  unsteady  on  her  feet, 
absolutely  ignorant  of  the  simplest  rules  of  '  first 
aid,'  that  they  needed  tried  and  efficient  people, 
and  that  we  could  not  lend  efficient  ani,  but 
should  be  a  nuisance. 

"  She  argued  that  we  could  hunt  for  the 
dead  and  '  carry  consolation  to  the  dying.'  I  was 
afraid  I  was  going  to  laugh  at  the  wrong  moment. 
The  truth  was  I  had  a  sudden  vision  of  my  chubby 
self — me,  who  cannot  walk  half-a-mile  or  bend 
over  wdthout  getting  palpitation — stumbling  in 
my  h'gh-heeled  shoes  over  fields  ploughed  by 
eavalry  and  shells,  brearthlessly  bent  on  carr^nngf 

*  By  Mildred  Aldrich.  London  :  Constable  & 
Co. 


August  3,   1918 


Hbe  British  3ournaI  of  iRursino. 


^89 


-consolation  to  the  dying."  This  decision  of  hers 
was  eminently  right  and  she  found  much  more 
suitable  and  efficacious  means  of  ministering  to 
the  army  in  her  own  little  house  en  the  hill-crest. 

Here  is  a  moving  picture  of  a  burying-ground 
at  Chambry  : — "  First  the  graves  a,re  scattered, 
■for  the  boys  lie  buried  just  where  they  fell,  cradled 
in  che  bosom  of  the  mother  country  that  had 
nourished  them  and  for  whose  safety  they  had  laid 
down  their  lives.  As  we  advanced  they  became 
more  numerous,  until  we  reached  a  point  where  as 
iar  as  we  could  see  in  eveiy  direction  floated  little 
tricolour  flags,  like  fine  flowers  in  the  landscape. 
.  .  .  Here  and  there  was  a  haystack  with  one 
grave  beside  it  and  again  there  w^ould  be  one 
almost  encircled  with  tiny  flags  which  said : 
'  Here  sleep  the  heroes.'  Xt  was  a  disturbing  and 
a  thrilling  sight.  I  give  you  my  word,  as  I  stood 
there  I  envied  them.  It  seemed  to  me  a  fine 
thing  to  lie  out  there  in  the  open  in  the  soil  of  the 
field  their  death  has  made  holy,  the  duty  well 
^one,  the  dread  over.  You  may  know  a  finer 
way  to  go.  I  do  not.  Surely,  since  Death  is,  it 
is  bettei  than  dying  of  age  between  clean  sheets." 

Further  on  in  the  book  she  says  :  "  The  only 
other  thing  1  have  done  this  month  which  could 
-interest  you  was  to  have  a  little  tea-party  on  the 
lawn  for  the  convalescent  boys  of  our  ambulance, 
who  were  '  personally  conducted  '  by  one  of  their 
nurses. 

"  When  I  got  them  grouped  round  the  table 
in  the  shade  of  the  big  clump  of  lilac  bushes,  1 
was  impressed,  as  I  always  am  when  I  see  numbers 
of  common  soldiers  together,  with  the  fact  that 
no  other  race  has  such  intelligent,  such  really 
well-modelled  faces  as  the  French.  Tt  is  so  rare  to 
see  a  fat  face  among  them.  When  the  nurse 
looked  at  her  watch  and  said  it  was  time  to  return 
to  the  hospital,  ss  they  must  not  be  late  for  dinner, 
they  all  rose.  The  law  student  came,  cap  in  hand, 
and  thanked  me  for  a  pleasemt  afternoon,  and 
every  man  imitated  his  manners  with  varying 
degrees  of  success  and  made  his  little  bow,  turning 
back  to  wave  their  caps  as  they  went  round  the 
corner." 

She  has  some  charming  young  officers  billeted 
on  her  from  time  to  time,  and  she  describes  the 
manner  in  which  she  is  requested  to  ofEer  her 
hospitality. 

"  It  was  just  after  lunch  on  Sunday — a  grey, 
cold  d^y,  which  had  dawned  on  a  world  covered 
with  frost — ^that  there  came  a  knock  at  the  salon 
door.  I  opened  it  and  there  stood  a  soldier  with 
his  hand  at  salute,  who  said  :  '  Bon  jour,  madame, 
avez  vous  un  lit  poui  un  soldat  ?  ' 

"  \\Tien  you  are  to  lodge  a  soldier  in  a  house 
so  intimately  arranged  as  this  one  is,  I  defy  anyone 
not  to  be  curious  as  to  what  the  lodger  is  to  be 
Hke. 

"  There  stood  a  tall,  straight  lad,  booted  and 
spurred,  with  a  crop  in  one  gloved  hand,  and 
the  other  raised  to  hig  fatigue  cap  in  salute,  and 
a  smile  on  his  bonny  face.  Of  course,  in  twenty- 
four  hours  he  became  the  child  of  the  house.  I 
feel  Uke  a  grandmother  to  him.     As  for  Amelie, 


she  falls  over  herself  trying  to  spoil  him  and 
before  the  second  da-y  he  became  '  Monsieur 
Andre  '  to  her.  Catch  her  giving  a  boy  Hke  that 
his  military  title,  though  he  takes  his  duties  most 
seriously." 

This  is  really  a  charming  volume  and  we  hope 
that  Miss  Aldrich  vdW  be  inspired  to  give  her 
experiences  of  the  fourth  year  of  the  war  and  that 
there  may  never  be  a  fifth  for  her  to  experience. 

H.  H. 

LETTERS  TO  THE  EDITOR. 

Whilst  cordially  inviting  communications  upon 
all  subjects  jor  these  columns,  we  wish  it  to  bt 
distinctly  understood  that  we  d-o  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 


WE  NIGHTINGALES   KNOW  BETTER. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Editor,— -We  nurses  desire  to  thank  you 
for  youi  speedy  publicity  concerning  the 
Nightingale  badge,  and  on  reaching  the  proper 
authoiities,  viz.,  Mr.  Bonham  Carter. 

Personally,  I  was  roused  to  jealou.sy  and  indigna- 
tion (having  been  trained  as  a  Nightingale  proba- 
tioner) when  first  I  noticed  it  worn  by  a  midwife 
with  a  few  months'  training  and  passing  as  a 
qualified  nurse  here.  We  Nightingales  know- 
better,  nothing  of  the  kind  having  ever  been 
issued  from  the  training  school  to  its  probationers. 

I  can  give  a  further  instance  of  a  village  nurse 
half  a  mile  from  my  district  boundary,  who  w^as 
discharged  by  her  committee  for  misconduct.  The 
same  always  paraded  the  badge.  AH  qualified 
nurses  here,  and,  universally,  I  venture  to  add,  will 
be  indebted  to  you  for  your  exposure  of  the  de- 
grading use  to  which  our  Lady  of  the  Lamp's 
symbol  has  been  subjected. 

Again,  I  thank  you  in  the  name  of  all  the  pro- 
fession around  this  district  for  sending  that  shaft 
home. 

I  am,  yours  faithfully, 

Isabel  Nicoll, 
Queen's    Nurse,     Member     Society    for 
State  Registration  of  Nurses,' National 
Union  of  Nurses,  &c. 

Hensingham, 

Nr.  Whitehaven. 


WANT    OF    CONSIDERATION. 

To  the  Editor  of  Hhjl  British  Journal  ofNursing. 

Dear  Madam, — I  was  much  interested  in  the 
letter  which  appeared  in  your  last  number  on  the 
subject  of  the  pay  of  Aim^^  Nurses  and  signed  "  An 
Army  Sister,"  and  I  can  endorse  every  word  she 
says. 

I  should  like  particularly  to  draw  attention  to 
the  salaries  which  the  War  Office  pays  the  Matrons 
employed  in  the  larger  Territorial  Hospitals  at 
home,  and  which  constitute  a  genuine  hardship. 
Many  of  these  ladies  gave  up  good  civil  posts  in 


90 


Zbc  Brttieb  3ournal  of  IRurgfuG. 


August  3,  1918 


order  to  fulfil  their  engagements  to  the  War  Office 
when  war  broke  out,  an  d  have  been  working  at 
high  pressure  for  the  last  foui  years.  The  majority 
of  them  are  in  charge  of  hospitals  of  anything 
between  t.ooo  and  2,000  bedi,  and  few,  if  any,  even 
now  receive  as  much  as  ;^i50  per  annum.  When 
it  is  remembered  that  these  posts  ave  only  tem- 
porary, that  there  is  no  pension  attached  to  them, 
and  no  certainty  of  post-war  employment,  it  will 
be  seen  how  unfavourably  they  compare  with  civil 
matronships,  even  in  small  hospitals,  where  the 
work  and  responsibility  are  infinitely  less  and 
where  the  position  is  an  assured  and  permanent 
one. 

I  should  like  to  add  that  so  far  the  yearly  bonus 
to  which  all  members  of  the  Territorial  Force 
Nursing  Service  are  entitled  by  the  terms  of  their 
enrolment,  has  been  paid  only  to  those  members 
who  have  been  invalided  from  the  service,  and  it 
now  transpires  that  if  from  any  cause,  except  ill- 
health,  a  member  resigns  before  the  end  of  the 
war  she  will  forfeit  every  penny  of  it. 

If  you  can  find  room  for  this  letter  in  your 
widely-read  journal  I  shall  feel  grateful. 
Yours  faithfully, 

A  Civilian  Matron. 


THE    V.A.D.     QUESTION. 

To  the  Editor  0/  The  British  Journal  of  Nursing. 

Dear  Madam, — May  I  give  a  concrete  instance 
in  support  of  the  view  that  cemi-trained  nurses 
might  be  held  to  resemble,  and  possibly  be  tieated 
like.  Territorial  officers.  In  the  second  year  of 
the  war  I  had  much  to  do  with  the  practical 
training  and  the  supervision  of  a  band  of  enthusi- 
astic V.A.D.s.  One  of  the  best  was  the  sister 
of  the  local  draper,  who  himself  enlisted  in  the 
Territorial  battalion,  and  in  less  than  six  months 
earned  a  commission.  He  was  a  very  gallant  and 
efficient  young  officer  and  did  valuable  service 
before  he  gave  his  life  for  his  country.  Had  he 
lived,  he  would,  after  the  war,  have  re+urned  to 
his  business  in  the  same  simple  spirit  in  which  he 
left  it  (and  practised  it  when  on  leave  !).  The 
sister  yearned  to  serve  hef  country  in  the  same 
way.  Sjie  could,  by  an  effort,  have  been  spaied 
from  home  for  a  year  or  so,  or  as  we  then  hoped' 
for,  the  "  duration  of  the  war,"  and  consulted  me 
many  times  as  to  how  she  might  at  once  get  some 
real  nursing  to  do.  As  far  as  she  went  she  was 
very  good,  and  had  worked  hard,  but  the  three 
years'  compulsory  training  was  quite  impossible 
for  her  ;  .  and  if  she  eventually  went  as  a  special 
militaiy  probationer  (for  I  have  now  lost  sight  of 
hei),  I  suppose  after  one-and-a-half  or  two  years 
she  is  still  one  I  If  all  the  nursing  energies  of  the 
country  were  managed,  as  you  suggest,  by  one 
cential  authority,  no  doubt  these  piobkms  would 
be  solved  and  waste  cf  human  material  avoided  ; 
but  it  would  (shall  we  say  it  will  ?)  be  a  colossal 
task.  I  was  much  amused  to  find  tnat  one  of 
my    English-speaking    friends,     who    has    beer 


diligently  reading^the  back  numbers  of  the  B.  J.N., 
now  talks  glibly  about  Vads  (as  one  syllable)  ! 
I  am,  yours  faithfully, 

"  Red  Cross  Worker." 
Lyceum,  Floience. 


KERNELS     FROM     CORRESPONDENCE, 

"  Soldiers'  Friend  "  writes  :  "  Can  nothing  be 
done  to  supply  sick  soldiers  with  more  food  ? 
In  the  hospital  1  visit  men  have  a  hght  tea  at 
4.30  and  nothing  more  till  breakfast  at  7.30  next 
morning.  Also  convalescent  soldiers  I  entertain 
are  all  hungry.  How  would  our  political  man- 
darins get  on  without  their  substantial  luncheon 
and  good  dinner  at  8  p.m.  ?  " 


A  Sister  ol  Thirty  : — "  A  Sister  of  Sixty,"  is  the 
right  sort.  Since  reading  her  letter,  as  I  am  to 
have  my  holiday  in  August,  I  have  offered  to  work 
on  the  land.  I  feel  suie  I  could  help  with  the 
harvest,  and  as  I  love  all  animals  should  like  to 
keep  them  clean  and  feed  them.  I  have  nothing 
but  contempt  for  all  these  young  society  women 
who  pose  as  patriots,  but  take  care  never  to  do  a 
bit  of  real  hard  work  for  our  country  at  this  crisis. 
'  Meirry  Mummers  '  is  a  very  good  description  of 
them,  and  our  onct  self-respecting  profession  is 
the  sentimental  peg  and  excuse  for  their  silly 
'  gambols.'  We  owe  '  Beatrice  Kent '  a  vote  of 
thanks  for  her  out-spoken  courage'.  Let  us  hope 
Miss  Asquith  and  her  companions  will  take  it  to 
heart.  Anyway  we  nurses  have  no  respect  for 
waste  of  time  on  social  functions  by  young  women 
able  to  work.  Conscription  of  young  unmarried 
women  is  what  we  approve." 


»  *  I 


OUR     PRIZE     COMPETITION. 

QUESTIONS. 

August  10th. — What  have  you  learnt  of  new 
nursing  methods  in  a  Military  Hospital  ? 

August  I'jth. — What  is  pernicious  anaemia'? 
How  have  you  seen  it  treated  ? 


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first-class  firms. 


August  3,  1918  (Tbe  BrltlBb  3ottrnal  of  «ur«tno  Supplement. 

The   Midwife. 


>9i 


CENTRAL  MIDWIVES'  BOARD  (ENGLAND) 


MONTHLY    MEETING. 

The  Monthly  Meeting  of  the  Central  Midwives' 
Board  was  held  at  i,  Queen  Anne's  Gate  Buildings, 
Westminster,  on  Thursday,  July  27th,  Sir  Francis 
Champneys  presiding. 

A  letter  was  received  from  the  Secretary  of  the 
Association  for  Promoting-the  Training  and  Supply 
of  Midwives,  enclosing  for  the  information  of  the 
Board  a  copy  of  a  revised  edition  of  the  Associa- 
tion's , proposals  for  a  State  Midwifery  Service,  a 
summary  of  which  we  give  in  this  issue. 

In  reference  to  the  application  of  a  candidate  for 
the  Board's  Examination,  it  was  resolved  that  she 
be  required  to  satisfy  the  Board  that  she  is  not  an 
enemy  alien  before  admission  to  the  examination. 

A  letter  was  read  from  the  Medical  Officer  of 
Health  for  the  County  of  Durham,  raising  various 
points  in  connection  with  the  relation  of  medical 
practitioners  to  both  certified  midwives  and  uncer- 
tified women  in  their  practice. 

The  letter  concluded  : 

"  I  am  afraid  that  there  is  no  doubt  it  is  a 
common  practice  in  many  parts  of  the  county  for 
the  doctors,  especially  in  these  times  of  stress,  not 
to  trouble  to  attend  normal  confinements  if  they 
know  that  an  uncertified  woman  is  present,  though 
they  attend  later  and  sign  the  maternity  benefit 
certificate.  They  thus  tacitly  encourage  practice 
by  uncertified  women,  and  enable  them  to  carry  on 
a  practice  to  the  detriment  and  discouragement  of 
any  trained  midwives  in  the  district." 

PENAL  CASES. 

A  Special  Meeting  of  the  Central  Midwives  Board 
was  held  at  i,  Queen  Anne's  Gate  Buildings,  West- 
minster, on  Wednesday,  July  24th,  at  10.30  a.m., 
when  the  charges  against  a  number  of  midwives 
were  considered,  with  the  following  results  :■ — 

Struck  Off  the  Roll  and  Certificate  Cancelled. — 
Ellen  Beesley  (No*.  12400).  Alice  Jemima  Burnett, 
L.O.S.  Cert.  (No.  17397),  Sarah  Ann  Dean  (No. 
18278),  Hannah  Hammond,  C.M.B.  Examination 
(No.  41 1 17),  Mary  Jane  Hartley  (No.  20537), 
Clarissa  Lister  (No.  15068),  Sarah  Moxon  (No. 
2219),  Rebecca  Taylor  (No.  7240),  Gertrude  Davies 
(No.  29355),  '^^^  Rawlings  (No.  9709). 

Severely  Censured. — Henrietta  Haycock,  C.M.B. 
Exam.  (No.  30190). 

Adjourned  for  Report  in  Three  and  Six  Months. 
— Lucy  Lake  (No.  2519),  Charlotte  Major,  C.M.B. 
Exam.  (No.  41223). 

There  were  several  defended  cases.  The  charges 
against  one  midwife  included  her  carrying  in  the 
bag  containing  her  appliances  a  "  pig's  black 
pudding." 


PROPOSALS    FOR    A    STATE-AfDED 
MIDWIFERY  SERVICE.  >    ;.-> 


In  September  last  we  discussed  at  some  length 
the  Proposals  for  a  State-aided  Midwifery  Service 
in  England  and  Wales  embodied  in  a  Memoran- 
dum by  the  Association  for  Promoting  the  Training 
and  Supply  of  Midwives  as  a  basis  for  necessary 
legislation.  This  Memorandum  has  now  been 
revised,  and  we  publish  below  the  Summary  of  tlie 
proposals.  We  hope  later  to  discuss  them.  "* 
Summary.  ' 

(i)  The  greatest  need  in  maternity  and  infant 
welfare  is  to  secure  an  efficient  midwifery  service 
in  all  parts  of  the  country,  so  that  the  most  con- 
gested areas,  where  the  rate  burden  is  most  severely 
felt,  shall  not  be  left  with  a  defective  service.' 

(ii)  At  present,  though  there  are  enough  mid- 
wives  competent  to  give  efficient  midwifery 
services,  the  fees  obtainable  dre  too  small  to  enable 
them  to  earn  an  adequate  livelihood.  It  is,  there- 
fore, necessary  that  every  midwife  attending  a, con- 
finement must  be  secured  an  adequate  fee;  this  is 
put  at  25s.  .  " 

(iii)  In  order  that  the  areas  most  difficult  to  serve 
shall  not  be  left  without  these  services,  it  is  neces- 
sary that  the  requisite  sum  for  paying  this  fee  shall 
be  provided  from  the  Exchequer,  and  not  be  met 
from  local  rates. 

(iv)  The  fee  of  the  midwife  must  be  guaranteed, 
and  must  not  depend  upon  the  ability  or  willinfg'ness 
of  the  patient  to  pay. 

(v)  The  Exchequer  money  should  be  disbursed 
through  an  efficient  Local  Body,  which  must  super- 
vise the  systematic  provision  of  midwives  for  the 
area ;  this  body  must  be  the  same  as  that  which  is 
responsible  for  the  inspection  of  midwives  under 
the  Act. 

(vi)  The  scheme  must  include,  and  be  conditional 
upon,  the  provision  of  greatly  improved  arrange- 
ments for  the  inspection  of  midwives  everywhere. 

(vii)  The  scheme  must  be  accompanied  by  suffi- 
cient Exchequer  money  for  the  payment  of  requisite 
fees  for  doctors  called  in  to  abnormal  cases  by  mid- 
wives  under  the  C.M.B.  rules. 

(viii)  These  various  items  point  to  a  sum  of  about 
;£,  1,000,000  per  annum  being  sufficient  in  England 
and  Wales ;  its  provision  is  intended  to  secure 
efficient  midwifery  services  for  every  confinement 
in  England  and  Wales  where  the  income  is  too 
small  to  meet  the  charges  involved. 

(ix)  The  provision  of  Exchequer  money  for  giving 
an  increased  maternity  benefit  in  cash,  or  for 
giving  cash  allowances  to  the  mother,  would  not 
meet  the  needs  of  the  situation,  since  this  does  not 
secure  that  any  efficient  services  are  provided;  but 
the  present  proposals,  by  securing  efficient  mid- 
wifery services  in  every  case,  guarantee  that  the 
whole  of  the  money  provided  from  the  Exchequer 


9a        Jliyc  :Brltl6b  Journal  of  'Huretnc  Supplement.   ^"«^"^*  3,  1918 


is  expended  directly  upon  provision  of  services  that 
immediately  affect  the  w^elfare  of  mother  and 
infant. 

VERDICT  OF  WILFUL  MURDER. 

The  adjourned  inquiry  as  to  the  cause  of  the 
death  of  Kenneth  Cedric  Goodman  at  the'Syden- 
ham  Infant  Welfare  Centre,  on  July  19th,  was 
resumed  by  Mi",  H.  R.  Oswald  on  Tuesday  at 
Lewisham. 

Miss  Payne,  the  Superintendent  of  the  Centre, 
explained  that  the  w^orst  kind  of  wasting  and 
prematurely-boru  infants  were  taken,  and  those 
suffering  from  digestive  disorders ;  no  other 
diseases  were  admitted.  Had  she  received  Nurse 
Thompson's  references  before  engaging  her  she 
would  not  have  done  so. 

The  medical  officer  at  the  Centre,  Dr.  Gladstone, 
said  after  his  attention  was  called  to  Goodman's 
case  he  discovered  the  double  fracture  of  the  skull 
spoken  of  by  Colonel  Toogood  in  his  evidence  last 
week. 

Nurse  Eva  Grace  Thompson,  who  was  cautioned 
by  the  Coroner,  stated  that  she  had  charge  of 
Goodman  and  four  other  children  during  the  night 
of  June  4  th.  She  denied  striking  the  child  on  the 
head.  When  she  handed  him  over  to  the  day  staff 
on  the  morning  of  June  5th  he  was  quite  normal, 
and  she  could  not  account  for  the  fractures  of  the 
skull  and  the  three  bruises.  She  denied  that  she 
took  drugs  or  intoxicants. 

The  Coroner  informed  the  jury  that  in  the  early 
days  of  June  six  children  were  found  injured  at 
the  Centre,  and  four  had  died — one  from  double 
pneumonia.  Another,  still  alive,  had  a  fractured 
skull,  and  the  sixth,  also  alive,  had  a  fracture  of 
the  arm  and  a  dislocation  of  the  collar-bone. 

The  jury  returned  a  verdict  of  wilful  murder 
against  Nurse  Thompson,  who  was  airrested  in 
court  and  committed  for  trial. 

£300  DAMAGES  FOR  MIDWIFE. 

Damages  were  assessed  by  a  Sheriff's  jury  at 
;^30o  at  Green  Street  Courthouse,  Dublin,  as 
reported  in  the  General  Advertiser,  in  a  case  in 
which  Mary  Anne  Herbert  a  midwifery  nurse  of 
Rush,  claimed  ;^i,ooo  damages  from  M.  Sigman, 
40,  Lower  Clanbrassil  Street,  dairy  proprietor,  for 
injury  to  herself  and  her  bicycle  by  the  negligent 
driving  of  a  horse  and  trap  on  January  20th.  Mr. 
Gavan  Duffy  (instructed  by  Messrs.  Corrigan  & 
Corrigan),  for  the  plaintiff,  said  the  plaintiff's  right 
arm  was  broken,  and  the  defendant  made  no 
defence  or  offered  no  apology.  Dr.  M'Elhinney, 
Meath  Hospital,  said  the  plaintiff  would  not  be 
able  to  do  her  duties  for  two  years. 

LECTURES  TO  NURSES  ON   VENEREAL 

DISEASES. 

The  course  of  free  lectures  to  nurses  on  Venereal 
Diseases  at  St.  Paul's  Hospital,  Red  Lion  Square, 
by  Mr.  Leonard  Myer,  F.R.C.S..  met  a  great  need, 
judging  by  the  large  and  increasing  numbers  of 
nurses  who  attended  each  week. 


NATIONAL  BABY    WEEK   COUNCIL. 

In  our  last  issue  we  drew  attention  to  the  fact 
that  an  interesting  meeting  of  the  National  Baby 
Week  Council  took  place  at  the  Armitage  Hall  last 
week.'  h:  The  point  of  greatest  interest — ^to  which, 
for  lack  of  space,  we  were  unable  to  refer  at  the 
time — was  the  follovidng  resolution  : — 

"  That  the  National  Baby  Week  Council,  whilst 
a,pproving  the  objects  of  the  Maternity  and  Child 
Welfare  Bill,  deplores  the  continued  sacrifice  of  the 
nation's  present  health  and  future  life,  to  Depart- 
mental Vested  Interests,  calls  upon  the  Government 
to  establish  a  Ministry  of  Health  without  further 
delay,  and  at  no  distant  date  ;  and  that  the  Council 
approach  its  affiliated  organisations  with  a  view  to 
a  free  discussion  of  this  important  subject,  and  to 
carry  on  a  co-ordinated  propaganda  and  campaign 
in  favour  of  a  Ministry  of  Health  during  the  coming 
autumr." 

The  italics  are  ours.  The  important  and  signifi- 
cant point  about  it  is,  that  although  one  member 
suggested  as  an  amendment,  that  the  words  "  De- 
partmental Vested  Interests  "  should  be  deleted, 
as  being  too  strong,  and  another  seconded  it,  w^hen 
the  Chairman  put  it  to  the  vcte  the  meeting 
w^as  solidly  in  favour  of  having  the  words 
retained.  W(  see  in  this  the  first  fruits  of  the 
movement  for  social  and  political  purity,  and  are 
ercouraged  thereby.  Those  who  are  awakened 
have  begun  to  "  march  breast  Jorwdrd." 


AMERICAN     HELP     FOR    MOTHERS. 

The  American  Red  Cross  has  allocated  the  sum 
of  ;^5,ooo  to  the  National  League  for  Health, 
Maternity,  and  Child  Welfare,  to  promote  the 
establishment  of  maternity  centres  and  day 
nurseries  in  areas  where  much  war  wx)rk  is  being 
done. 


Mrs.  Whitelaw  Reid,  chairman  of  the  London 
Chapter  of  the  American  Red  Cross,  on  July  24th, 
opened  the  new  buildirgs  for  the  crdche  at  the 
North  Islington  Maternity  Centre,  arranged  by  the 
Committee  of  the  American  Infant  Welfare  Centre. 
The  buildings  are  at  9,  Manor  Gardens,  Holloway 
Road,  Islington. 


THE     BEST. 

"  We  all  hfve  held  in  fee  ore  woman's  heart : 
Have   all   been   pillowed    on    one  woman's 

bieast, 
Have  knelt  and  worshipped  at  one  woman's 

kneec — 
A  mother's.    If  this  be  the  only  part 
We  have  learned  of  woman's  lov-^^,  it  is  the 
best." 

A  G.  Sherriff. 

From  "A   Sonnet  to  Mother-love." 


No.  1,584. 


SATURDAY,   AUGUST    10,    1918. 


Vol.    LXI. 


EDITORIAL. 


THE  UNCHANGING  RESOLVE  OF  THE 
BRITISH  EMPIRE. 

Three  messages  stand  out  amongst  those 
delivered  on  the  fourth  anniversary  of  the 
entrance  of  the  British  Empire  into  the  War  ; 
that  of  his  Majesty  the  King  to  the  Heads 
of  AlHed  countries,  that  of  the  Bishop  of 
London,  representative  of  the  Church, 
deHvered  at  the  morning  service,  on  Sunday, 
at  St.  Paul's  to  the  great  congregation 
which  filled  the  Cathedral  to  the  doors,  and 
that  of  the  Prime  Minister,  representative 
of  the  State,  delivered  in  sealed  packets  and 
read  on  Saturday  evening  to  audiences  in 
the  theatres  and  elsewhere. 

The  King's  Message  to  the  Heads  of 
Allied  Countries. 

On  this  the  fourth  anniversary  of  the  day 
on  which  my  country  joined  in  the  great 
conflict  which  still  distracts  the  world  it  is 
my  privilege  to  convey  to  you  my  greetings, 
and  to  emphasize  once  again  the  unchang- 
ing resolve  of  the  British  Empire  to  concen- 
trate its  entire  energy  upon  a  victorious 
conclusion  of  the  struggle.  Thanks  to  the 
determination  of  our  peoples  and  the 
splendid  achievements  of  our  brave  sailors 
and  soldiers,  I  feel  confident  that  the  dawn 
of  a  victorious  peace  is  not  far  distant. 

"  Go    FoRWA*RD." 

The  Bishop  took  for  his  text  the  words 
"  Wherefore  criest  thou  unto  me  ?  Speak 
unto  the  children  of  Israel  that  they  go 
forward."  He  spoke  of  the  necessity  and  the 
power  of  prayer,  and  said : — 

"  Prayer  which  is  to  move  the  world 
must  be  accompanied  by  the  resolute  action 
which  attests  its  sincerity — back  to  the 
desk  to-morrow  or  after  the  needed  holiday  ; 
out  into  the  battlefield  again  after  the  pre^ 
cious    days    of   leave  ;      on    to  the   land  to 


gather  in  the  harvest.  Away  with  all 
doubts  and  all  fears,  all  croakers,  and  all 
those  who  weaken  the  knees  of  the  valiant. 
Be  strong  and  of  good  courage  ;  be  not 
afraid  and  be  not  dismayed ;  the  Lord  shall 
fight  for  you." 

"Hold   Fast." 

The  Prime  Minister's  Message  to  the 
Nation  was  "  Hold  Fast."  He  wrote  in 
part : — 

"  The  message  which  I  send  to  the  people 
of  the  British  Empire  on  the  fourth  anni- 
versary of  their  entry  into  the  war  is 
'  HoW  Fast.' 

"  We  are  in  this  war  for  no  selfish  ends. 
We  are  in  it  to  recover  freedom  for  the 
nations  which  have  been  brutally  attacked 
and  despoiled,  and  to  prove  that  no  people, 
however  powerful,  can  surrender  itself  to 
the  lawless  ambitions  of  militarism  without 
meeting  retribution,  swift,  certain,  and 
disastrous,  at  the  hands  of  the  free  nations 
of  the  world.  To  stop  short  of  Victory  for 
this  cause  would  be  to  compromise  the 
future  of  mankind." 

The   War   Shrine. 

Thousands  of  people  who  worshipped  in 
the  churches  and  chapels  in  the  morning 
were  present  at  the  blessing  by  the  Bishop 
of  London  of  the  War  Shrine  in  Hyde  Park 
in  the  afternoon,  and  placed  there  their  floral 
offerings  in  remembrance  of  the  valiant 
men  and  women  with  the  Expeditionary 
Force,  the  sick  and  wounded,  the  prisoners 
and  captives  and  the  heroic  dead.  The 
shrine  still  remains,  close  to  the  Marble 
Arch  and  to  Park  Lane,  that  great  highway 
of  traffic  where  all  may  see,  testifying  to 
the  affectionate  remembrance  of  the  Nation 
for  those  who  in  concert  with  our  Allies  are 
keeping  the  flag  of  freedom  aloft  on  land, 
on  sea,  and  in  the  air. 


94 


Q:be  Brttlsb  3ournal  of  Burslnfl. 


August  lo,   1918 


LABORATORY  WORK  FOR  WOMEN. 


By  A.  Knyvett  Gordon,  M.B.,  B.C., 
B.A.  Cantab. 

Some  years  ago,  when  in  charge  of  a  large 
hospital,  it  was  my  duty  to  examine  candidates 
for  the  post  of  probationer  nurse.  The  standard 
was  high,  because  I  did  not  accept  anyone 
whom  I  thought  would  be  likely  to  break  down 
anywhere  on  training  :  consequently  many, 
~  otherwise  of  excellent  physique,  were  rejected 
on  account  of  slightly  deformed  feet  or  varicose 
veins. 

I  have  often  wondered  what  became  of  these 
girls,  many  of  whom  must  have  had  a  natural 
aptitude  for  medical  work  of  one  kind  or 
another,  and  it  is  a  pity  that  they  should  be 
lost  altogether  to  the  profession.  Nowadays, 
however,  they  need  not  be,  and  I  think  that 
the  opening  that  awaits  them  in  the  laboratory 
is  perhaps  insufficiently  realised.  Let  me,  then, 
briefly  describe  the  position,  and  then  put  in  a 
plea  for  the  pathologist  who  requires  their 
services. 

Until  recently,  pathology  was  a  science  of  its 
own,  and  it  got  its  facts  mainly  from  the 
examination  of  tissues  removed  in  the  theatre 
and  from  the  performance  of  post-mortem 
examinations ;  the  pathologist  himself  was 
often  a  man  without  very  much  clinical  inclina- 
tion, and  was,  anyhow,  concerned  more  with 
the  advancement  of  science  than  with  the  treat- 
ment of  the  particular  patient. 

Small  blame  to  him  !  The  science  he  loved, 
however,  gave  him  scarcely  a  living  wage,  and 
certainly  led  to  no  pecuniary  or  social  advance- 
ment, and  very  seldom  was  he  permitted  to  see 
the  practical  result  of  his  work.  So,  many 
brilliant  men  were  lost  to  science  by  being 
pitchforked  into  gieneral  practice  by  the  force 
of  circumstances. 

Gradually,  however,  the  barrier  between  the 
clinician  and  the  pathologist  was  broken  down, 
and  a  new  department  of  clinical  pathology 
'came  into  being.  By  this  I  mean  that  the 
pathologist  was  called  in  during  the  life  of  the 
patient  to  find  out  what  he  could  from  examina- 
tion of  any  material  he  could  collect,  instead 
of  having  simply  to  find  out  after  death  how 
the  horse  had  been  stolen  !  Of  the  value  of  this 
co-operation,  the  diagnosis  of  diphtheria  and  of 
phthisis  by  the  detection  of  the  characteristic 
microbes  in  the  throat  and  sputum  are  good 
examples. 

This  child  of  the  alliance  grew  apace,  until 
the  facilities  for  diagnosis  afforded  by  the 
laboratory  were  demanded  not  only  by  the 
practising  clinician,   but  even  by  his  patient. 


This  necessitated  a  considerable  increase  both 
in  the  number  of  laboratories  and  in  the  statl 
which  each  employed. 

Then  came  the  war,  and  everybody  knows 
how  incalculable  has  been  the  value  of  labora- 
tory work,  not  only  in  the  treatment  of  the 
wounded,  but  also  in  the  prevention  of  sickness 
which  in  former  campaigns  was  more  deadly 
than  the  weapons  of  the  foe.  On  their  return 
to  civil  practice  many  medical  men  now  serving 
will  demand  the  laboratory  facilities  which  they 
have  enjoyed  in  the  field  for  all  classes  of  their 
patients,  and  it  is  evident  also  that  in  any 
schemes  for  improvement  of  the  national  health 
research  must  find  a  place. 

In  the  past,  pathology  has  almost  entirely 
been  confined  to  men,  though  I  have  often 
thought — and  taught — that  this  was  unneces- 
sary. Women  are  eminently  fitted  for  patho- 
logical work,  and  nowadays  they  are  taking  to 
it  in  increasing  numbers. 

In  a  laboratory  there  are  two  classes  of 
worker  :  the  qualified  pathologist,  who  has 
passed  through  the  whole  medical  curriculum, 
and  the  technical  assistant ;  it  is  the  latter  which 
we  will  now  consider.  What  sort  of  life  will  the 
worp.an  aspirant  lead,  and  what  advantages 
does  the  career  hold  out? 

Well,  in  the  first  place  she  need  not  be 
physically  robust ;  the  hours  of  duty  are  not 
excessive,  and  she  can  sit  or  stand  at  her  work 
at  will.  Consequently  her  night's  rest  is  not 
broken  by  the  cry  of  the  aching  back  or  the 
incipient  flat  foot. 

Then  she  earns  a  living  wage  from  the  start, 
and  at  once  begins  to  take  a  hand  in  the  fasci- 
nating work  of  finding  out  what  is  wrong  with 
the  patient. 

If  she  can  afford  it,  there  is  distinct  advan- 
tage in  taking  a  preliminary  course  of  instruc- 
tion in  Bacteriology  and  Chemistry  at  one  of 
the  teaching  centres  in  London  or  elsewhere, 
but  this  is  not  essential,  and  she  can  start,  if  she 
prefers  it,  on  the  lowest  rung  of  the  ladder  in 
the  laboratory  itself. 

Probably  she  begins  by  spreading  films  of 
pus,  sputa,  and  so  on,  and  later  on  perhaps 
staining  them  for  the  pathologist  to  examine. 
At  this  stage  she  also  learns  something  about 
microscopy  itself. 

Pathologists  are  often  chatty  souls,  and  in 
the  intervals  between  one  specimen,  or  batch, 
and  the  next,  are  usuallv  keen  on  teaching. 
Generally  they  are  also  enthusiasts,  and  their 
reminiscences  and  day  dreams  are  often 
fascinating. 

Then  she  learns  the  gentle  art  of  glass-blow- 
ing, and  it  is  extra,ordinarv  how  skilful  many 
girls  become  at  this  in  a  very  short  time.     It  is 


August  lo,   1918 


Zbc  British  3ournal  of  IRumug. 


95 


important,   for  well-made   apparatus  tends   to 
careful  work. 

Then  there  is  the  department  of  chemical 
pathology,  where  she  learns  not  only  how  to 
make  up  solutions,  but  also  the  elements  of 
chemistry,  beginning  with  simple  urine-testing, 
and  going  on  to  the  chemical  part  of  the 
analysis  of  drinking-water  and  foods.  Then 
she  learns  how  to  cut  and  stain  sections  of 
tumours  and  of  organs  removed  post-mortem, 
and  also  the  details  of  bacteriology,  such  as  the 
sowing  of  culture  media  with  discharges  from 
wounds,  &c.,  and  observing  what  comes  up. 
Incidentally,  this  is  a  type  of  gardening  quite 
as  fascinating  as  the  tending  of  the  fashionable 
allotment.  And  so  she 
goes  on  in  a  daily  task 
that  is  never  dull  because 
it  is  always  lit  up  by 
flashes  of  light  from  the 
pathological  elysium 
where  the  answers  to  the 
eternal  problems  are  kept. 

All  this  makes  for  an 
atmosphere  of  comrade- 
ship. I  never  knew  any- 
one give  themselves  airs 
in  a  laboratory  for  very 
long.  In  fact,  swagger 
is  impossible,  if  only  be- 
cause in  research  every- 
one is  always  making 
mistakes,  or  perhaps  I 
should  say  following 
temporarily  the  wrong 
byroad. 

The  only  essential  pre- 
liminary qualifications 
are  keenness — and  this  is 
the  most  important  of  all 
— and  a  certain  degree  of 
natural  dexterity.  For 
the  hopelessly  awkward 
and  heavy  fingered  the 
laboratory  has  no  place. 

Then  the  candidate  must  not  be  absolutely 
hopeless  at  **  Figures."  Lat'er  on  she  will  have 
to  work  out  chemical  reactions  and  statistics, 
and  if  this  has  to  be  done  by  counting  her 
fingers  she  will  be  left  behind  in  the  race.  But 
the  majority  of  girls  nowadays  have  these 
qualifications — ^and  especially  for  those  who 
prefer  mental  to  physical  work,  a  laboratory 
career  offers  many  and  interesting  possibilities. 


NURSING    AND    THE    WAR. 


We  are  indebted  to  the  courtesy  of  the  edilor  of 
the  Scots  Pictorial  for  our  portrait  of  Miss  Mary 
Courtnay,  Matron  of  Montgreenan  Auxiliary 
Hospital,  Kilwinning,  who  was  recently  decorated 
with  the  Royal  Red  Cross. 


MISS     MAkY    COURTENAY,     R.R.C., 
Matron,  Montgreenan  Auxiliary  Hospital,  Kllwlnnlngr, 


At  an  Investiture  held  In  the  Quadrangle  of 
Buckingham  Palace  on  July  31st,  the  King  con- 
ferred the  following  decorations  :■ — 

ROYAL     RED     CROSS. 

First  Class. 
Territorial  Force  Nursing  Service. — Assistant  Matron 
Ada  Taylor. 

Civil  Nursing  Service. — Assistant  Matron  Isabel  Kemp, 
Sister  Elizabeth   Macaulay. 

Canadian  Army  Nursing 
Service. — Matron  Myra  Good- 

EVE. 

Second  Class. 
Queen  Alexandra's  Imperial 
Military  Nursing  Service 
Reserve.  —  Sister  Georgina 
Hester,  Sister  Florence 
Hughes,  Sister  Clara  Robin- 
son, Sister  Amy  McDowell, 
Staff  Nurse  Mercy  Huffer, 
Staff  Nurse  Euphemia 

Loraine,   and   Miss  Margaret 

PlERSON. 

Territorial  Force  Nursing 
Service.  —  Sister       Charlotte 

FlTZMAYER. 

Civil  Nursing  Service. — r 
Matron  Ethel  Carew-Hodge, 
Matron  Marianne  Iffland, 
Matron  Phillimore  Ind, 
Matron  Kathleen  Irwin, 
Matron  Mabel  Johnson, 
Matron  Amy  Kaye,  Matron 
Ellen  Kidson,  Matron 
Blanche  Knapton,  Matron 
Edith  Wake,  Matron  Marie 
Wheeler,  Assistant  Matron 
Isabel  Heberden,  Sister  Ellen 
Howard,  Sister  Gertie  Inman, 
Sister  Minnie  Jones,  and 
Mrs.  Marian  McGlashan. 

British   Red   Cross   Society. 
— Matron  Mabel  Hunt,  Sister 
Jessie      Gunn,      Sister      Kate 
Hatton,  and  Sister  Kathleen  Nixon. 

Voluntary  Aid  Detachment. — Miss  Kate  Bishop,  Mrs. 
Sibyl  CocKBURN,  Miss  Lily  Haggar,  Mrs.  Evelyn  Heyde, 
Miss  Catherine  Hickling,  Miss  Mabel  Hodges,  Miss 
.\my  HusoN,  Miss  Kate  Jackson,  Mrs.  Agnes  James, 
Mrs.  Eva  Jones,  and  Miss  Gertrude  Mirrington. 

Canadian  Army  Nursing  Service. — Sister  Alba 
Andrew,  Sister  Irene  Brady,  and  Sister  Sophie 
Hoerner. 

THE   MILITARY   MEDAL. 
Queen  Alexandra's  Imperial  Military  Nursing  Service 
Reserve. — Sister  Mary  Brown. 


Messrs.  Debenham  &  Freebody  have  given 
up  two  of  their  large  workrooms  in  Welbeck 
Street  to  the  West  End  Hospital.  They  wilj  be 
known  as  the  Debenham  wards. 


At  the  opening  of  Australia  House  by  the  King 
on  Saturday  last.  Head  Sister  Ida  O'Dwyer* 
Australian  Army  Nursing  Service,  R.R.C.,  was 
presented  to  the  King  and  Queen. 


96 


Jlbc  British  3ournal  of  IRursmg. 


August   lo,    1918 


THE   MILITARY  MEDAL. 

FOR    DISTINQUISHED    SERVICES     IN     THE 
FIELD. 

A  special  supplement  to  the  London  Gazette 
issued  on  July  30th  states  that  the  King  has 
approved  the  award  of  the  Military  Med?l  to  the 
under-mentioned  ladies  for  distinguished  services 
in  the  field.  In  each  case  the  act  of  bravery 
recorded  was  performed  during  enemy  air  raids 
on  hospitals  : — • 

Sister  C.  L.  A.  Robinson,  A.R.R.C,  Q.A.I. M.N. S.— 
A  stationary  hospital  was  struck  by  four  bombs  from 
an  enemy  aeroplane  and  one  wing  was  practically  cut 
in  two,  many  patients  being  /buried  in  the  debris.  Sister 
Robinson,  at  very  great  personal  risk,  went  in  amongst 
the  ruins  to  assist  in  recovering  the  patients,  quite  re- 
gardless of  danger,  her  one  thought  being  the  rescue 
of  the  patients.  She  displayed  magnificent  coolness  and 
resource. 

A. -Sister  N.  Galvin.  Q.A.I. M.N.S.R. — Four  enemy 
bombs  were  dropped  on  the  building  occupied  by  the 
hospital,  causing  much  damage  to  the  ward  in  which 
Sister  Galvin  was  on  night  duty.  She  remained  in  the 
ward  attending  to  the  sick,  several  of  whom  were 
wounded,  and  carried  on  her  work  as  if  nothing  had 
happened.  She  displayed  the  greatest  coolness  and 
devotion  to  duty. 

A. -Sister  M.  M.  de  Guerin,  Q.A.I. M.N.S.R.— The 
building  occupied  by  the  hospital  was  hit  by  four  bombs,, 
which  cut  in  two  the  ward  in  which  Sister  Guerin  was 
on  night  duty.  Several  patients  were  wounded 
and  buried  in  the  debris  of  the  destroyed  building,  but 
she  remained  on  duty  in  her  ward,  displaying  the  greatest 
coolness  and  courage  in  attending  to  the  wounded  and 
helping  to  rescue  the  buried. 

Sister  L.  A.  Wilkinson,  Q.A.I. M.N.S.R.— Although 
her  ward  was  demolished,  she  continued  to  attend  to 
the  wounded  whilst  the  raid  was  still  in  progress. 

Staff  Nurse  B.  Dascomue,  Q.A.I. M.N.S.R. —Her 
ward  being  destroyed  by  a  bomb  and  herself  wounded, 
she  insisted  on  remaining  at  her  post  and  attending  to 
the  wounded. 

Sister  (A.-Matron)  L.  M.  M.  Toller,  R.R.C, 
Q.A.I.M.N.S. — When  the  sisters'  quarters  were  wrecked 
and  nurses  wounded,  Sister  Toller  collected  the  staff  and 
placed  them  in  comparative  safety.  By  her  fine  example 
she  undoubtedly  saved  life. 

Staff  Nurse  A.  M.  McGrath,  Q.A.I. M.N.S.R.— In 
charge  of  a  ward  of  serious  cases.  She  showed  through- 
out a  quiet  confidence  and  set  a  fine  example  during  a 
most  critical  period. 

Sister  M.  E.  Davis,  Q.A.I.M.N.S. — When  the  sisters' 
quarters  were  wrecked  and  bombs  were  falling,  she 
showed  a  fine  example,  and  assisted  materially  in  control- 
ling the  situation  and  attending  to  the  sisters  who  were 
wounded. 

Staff  Nurse  S.  D.  ^tuNRo,  Q.A.I. M.N.S.R.— An 
enemy  air  raid  wrecked  three  of  her  wards.  She  showed 
coolness  and  contempt  of  danger  and  a  solicitude  for  her 
patients  which  Jkvas  invaluable. 

Staff  Nurse  K.  R.  Lowe,  T.F".N.S. — Bombs  destroyed 
a  large  portion  of  the  ward  in  which  she  was  on  night 
duty,  wounding  and  burying  many  of  the  patients.  She 
continued  to  carry  out  her  duties  with  great  composure, 
and  showed  much  resourcefulness  in  looking  after  the 
injured. 

Miss  M.  Thompson,  F.A.N.Y.,  Miss  W.  M.  Elwes, 
F.A.N. Y.,  Miss  E.  A.  Courtis,  F.A.N.Y.,  Miss  M. 
Richardson,  F.A.N.Y.,  Miss  M.  O'Connell-Bianconi, 
F.A.N. Y.,  Miss  H.  M.  Dickinson,  F.A.N. Y.,  Miss  E.  B. 
Callander,  F.A.N.Y. — .All  these  lady  drivers  were  out 
with  their  cars  during  the  raid,  picking  up  and  in  every 


way  assisting  the  wounded  and  injured.  They  showed 
great  bravery  and  coolness,  and  were  an  example  to  all 
ranks. 

Miss  K.  M.  Freshfield,  V.A.D. — The  ward  in  which 
she  was  working  was  destroyed  by  a  bomb,  but  she 
continued  to  attend  to  her  patients,  and  was  herself  veiy 
severely  wounded. 

Miss  L.  A.  Gregory,  V.A.D. — Her  ward  was 
destroyed  by  bombs,  but  she  insisted  on  remaining  at  her 
post,  and  attended  the  wounded  during  the  progress  of 
the  raid. 

Miss  K.  Farling,  Miss  S.  Dickson,  Miss  J.  Pennell. 
Miss  M.  Davidson,  B.R.C.S.  (V.A.D.).— All  these  lady 
drivers  were  out  with  their  cars  during  the  raid,  picking 
up  and  in  every  way  assisting  the  wounded  and  injured, 
and  showed  great  bravery  and  coolness,  and  were  an 
example  to  all  ranks.  They  also  carried  to  safety  and 
helped  in  every  way  many  French  civilians. 

Miss  W.  A.  Brampton,  B.R.C.S. — This  lady  continued 
at  duty  throughout  the  raid,  although  the  ward  in  her 
charge  w^as  almost  completely  wrecked,  several  patients 
killcKi,  and  she  herself  was  wounded. 

Miss  D.  M.  L.  Crewdson,  B.R.C.S.  (V.A.D.).— 
Although  herself  wounded,  this  lady  remained  at  duty 
and  assisted  in  dressing  the  wounds  of  patients. 

Commandant  W.  E.  S.  Mount  Batten,  B.R.C.S. — 
She  superintended  the  work  of  the  convoy,  drove  an 
ambulance  car  herself  during  the  raid,  and  by  her  cool- 
ness and  disregard  for  her  own  safety  ensured  the  prompt 
removal  of  the  wounded  to  hospital. 

Sub-Section  Leader  G.  M.  Cuthbert,  B.R.C.S. — She 
showed  exceptional  coolness  and  courage  in  directing  her 
section.  . 

Section  Leader  G.  F.  Johnston,  B.R.C.S. — She 
directed  her  section  with  coolness  and  courage  under 
very  trying  circumstances. 

Senior  Section  Leader  J.  V.  Mellor;  B.R.C.S. — She 
showed  exceptional  courage  and  efficiency  as  senior 
section  leader. 

Nurse  M.  G.  Campbell,  B.R.C.S. — During  a  raid 
buildings  were  set  on  fire.  She  moved  about  in  full  glare, 
regardless  of  imminent  danger,  taking  patients  to  safety, 
and  inspiring  confidence  in  all. 

V.A.D.  M.  Cavanaoh,  St.  John's  Ambulance  Brigade. 
— Miss  Cavanagh  was  in  charge  of  four  wards,  two  of 
which  were  entirely  wrecked.  She  continued  to  perform 
her  duty  ;  in  addition  was  very  active  in  removing  the 
wounded  to  a  place  of  comparative  safety. 

Nurse  E.  Hounslow,  A.R.R.C,  St.  John's  Ambu- 
lance Brigade. — A  bomb  fell  between  two  of  her  wards 
and  injured  many  patients.  She  behaved  with  the  utmost 
coolness,  and  set  a  fine  example,  attending  wounded 
under  most  trying  circumstances. 

Asst.  Matron  M.  Chittock,  St.  John's  Ambulance 
Brigade  Hospital. — She  displayed  great  presence  of 
mind,  and  instilled  courage  and  confidence  throughout 
a  very  trying  time. 

Matron  C.  E.  Todd,  St.  John's  Ambulance  Brigade 
Hosoital. — She  moved  freely  about  the  wards  during  the 
brmbinrf,  encouraging  the  sisters  and  patients,  ar-"  dis- 
played great  braver>'  and  presence  of  mind  throughout. 

Sister  G.  Warner,  St.  John's  Ambulance  Brigade 
Hospital. — She  displayed  the  utmost  coolness,  and  main- 
tained a  cheery  spirit  throughout,  showing  great  braverv. 

Sister  J.  Bemrose.  St.  John's  Ambulance  Brigade 
Hospital. — She  showed  disregard  of  danger,  and  con- 
tinued to  attend  the  wounded  in  her  charge  during  the 
heavy  bombardment. 

Sister  M.  McGinnis,  St.  John's  Ambulance  Brigade 
Hospital. — She  showed  great  courage,  took  charge  of  a 
word,  and  sustained  her  patients. 

Sifter  M.  H.  Ballance,  St.  John's  Ambulance  Brigade 
Hospital. — Her  fortitude  and  courage  were  most  con- 
spicuous.    She  devoted  herself  entirely  to  her  patients. 


August  lo,   1918 


ITbe  British  3ournal  of  IRureinQ. 


97 


CARE    OF    THE    WOUNDED. 


.  PARKSIDE    ORTHOP/CDIC   HOSPITAL, 
RAVENSCOURT    PARK,    HAMMERSMITH. 

In  any  kind  of  weather  this,  the  newest  of 
auxiliary  war  hospitals,  would  have  been 
attractive,  but  on  a  warm  summer  day,  with  the 
breath  of  the  flowers  sweetening  the  air,  and  the 
bright  sunlight  making  everything  look  cheerful, 
the  impression  left  on  the  mind  of  the  visitor  was 
pai  ticularly  pleasant.  It  stands  in  two  acres  of 
ground  and  is  approached  by  a  shady  avenue  of 
beautiful  old  sycamore  trees.  It  is  a  handsome, 
well-built, commodious  house,  admirably  adapted 
to  its  present  purpose.  The  need  of  a  hospital  of 
this  sort  for  officers  has  long  been  felt  ;  the  In- 
firmary in  Ducane  Road  is  used  for  the  accommo- 
dation of  men  only,  requiring  orthopaedic  treat- 
ment. It  seems  that  it  was  only  necessary  to 
m.ention  the  fact  to  the  Mayor  of  the  Borough 
(Alderman  H.  Foreman,  O.B.E.,  J. P.)  for  the  idea 
to  materialise.  It  is  owing  to  his  great  generosity 
and  that  of  Mrs.  Foreman  that  Parkside  has  been 
acquired,  redecorated  and  furnished  to  accom- 
modate thirty  officers  besides  the  staff.  No.expense 
has  been  spared  in  making  it  as  cheerful,  cosy  and 
comfortable  as  money  plus  a  kind  heart  could 
make  it.  There  may  be  hospitals  as  nice,  but  it  is 
certain  there  could  not  be  any  nicer. 

There  is  uniformity  \\dthout  monotony. 
Polished  floors  everywhere  ;  a  mat  of  artistic 
colouring  beside  each  bed,  white  embroidered 
coverlet,  with  an  eiderdown  quilt  on  each  bed,  and 
each  of  a  different  coloured  silk.  Shot  silk 
appeared  to  be  the  favourite.  White-painted 
lockers  with  glass  tops,  upon  each  of  which  stands 
an  electric  lamp  with  a  shade  of  the  same  colour 
and  material  as  the  quilt.  Harmony  and  propor- 
tion spell  art,  and  this  is  evident  everywhere,  and 
is,  we  were  told,  the  taste  of  the  Mayoress.  The 
wars  are  distempered  in  a  soft  shade  of  grey.  The 
architect  is  to  be  congratulated  upon  the  liberal 
provision  of  window  space  ;  had  he  designed  the 
house  for  the  purpose  he  could  not  have  done 
better. 

The  lavatory  and  bathroom  accommodation  is 
abundant,  also  sluices  far  bedpans,  &c. 

A  winter  garden  or  conservatory  is  used  as  a 
lounge  and  smoke  room.  There  is  a  large  and 
handsomely  furnished  dining  room  for  the  officers 
on  the  ground  floor,  and  the  same  in  the  basement 
for  the  V.A.D.  staff.  The  resident  staff  consists 
of  the  Matron,  Miss  Dible,  and  one  Sister  ;  also 
the  cook.  Thirty-six  V.A.D-s  come  in  in  three 
shifts  of  twelve.  These  as  well  as  the  Com- 
mandant are,  of  course,  non-resident. 

The  sitting  room  for  the  officers  is  as  comfortable 
as  the  rest  of  the  house.  The  piice  de  resistance 
there  is  a  splendid  new  Grafonola,  the  gift  of 
Messrs.  Watsons,  Sons  &  Room.  There  is  a  good- 
sized  vegetable  garden,  which  is  not  the  least  of 
the  many  attractions  of  the  hospital. 

We  are  greatly  indebted  to  Miss  Dible  for  her 
courtesy  in  showing  us  this  admirable  hospital. 


Many  generous  people  have  given  handsome 
subscriptions,  but  many  more  would  be  gratefully 
accepted. 

The  hospital  was  opened  on  Thursday,  July  25th, 
by  Mrs.  Hayes  Fisher,  accompanied  by  the  Right 
Hon.  W.  Hayes  Fisher,  President  of  the  Local 
Government  Board.  .  g_  jj. 


FRENCH  FUQ  NURSING  CORPS. 


.    What  The  "  Times  "  thinks  of'Our  Work 

i        ^^  *    "^t:  AND  Policy.    •   * 

"  The  French  Flag  Nursing  Corps,  wtich  has 
supplied  from  100  to  200  of  the  best  trained  British 
nurses  for  FrenchArmy  hospitals,  since  1914,  came 
into  prominence  in  the  recent  retreat  from  the 
Cherain  des  Dames,  where  they  gave  an  example  of 
their  mettle  by  sticking  to  their  posts  till  all  the 
wounded  were  evacuated,  and  only  escaped  as 
the  Germans  entered  the  hospitals.  These  British 
women,  scattered  in  twos  and  threes  in  great 
military  hospitals  throughout  France,  have  raised 
the  whcle  standard  of  nursing  and  made  thousands 
of  friends  for  us — friends  who  will  not  forget." 


The  good,  kind  "  Henriette,"  femme  de  manage 
at  Verneuil,  is  now  a  refugee  in  Savoy.  She  was 
in  attendance  on  the  Sisters  at  the  old  Chateau  to 
the  last  day  when  the  retreat  began.  A  Sister 
writes  : — "  Poor  girl,  she  was  very  good  to  us, 
and  has  lost  everything  Would  it  be  possible  to 
send  her  a  gift  of  clothing  or  any  help  ;  they  are 
glad  oi  such  gifts.  I  send  you  her  address." 
Poor  Henriette  I  Well  we  remember  her  and  the 
lovely  dejeuner  she  prepared  for  us  the  happy 
day  we  visited  the  Sisters  in  their  romantic 
surroundings.  Very  happy  we  should  be  to 
forward  her  a  gift  of  clothing,  if  any  kind  friend 
will  help  to  make  up  a  parcel.  We  could  do  with 
a  tidy  coat  and  skirt,  two  pairs  of  warm  stockings, 
a  good  pair  of  boots,  a  waim  petticoat,  under- 
linen,  and  seme  tidy  aprons,  and  any  useful 
additions.  "  Henriette  "  is  tall  and  stout  and 
requires  garments  of  ample  proportions.  It 
would  be  nice  to  send  her  a  parcel  from  "  Friends 
in  England  "  now  she  is  far  from  ner  home.  Let 
us  hope  it  may  not  be  for  long  ;  but,  alas  !  we 
know  the  devastation  of  the  fair  land  of  France, 
where  the  hoof  of  the  Hun  has  passed.  Please 
address  gifts  to  the  Editor,  431,  Oxford  Street, 
London  W.,  marked  "  For  Henriette." 


A  Sister  in  the  war  zone  writes: — -"We  are 
having  very  bad  nights,  as  we  have  nightly  visits 
from  the  Boches.  We  get  big  rushes  of  wounded 
when  the  brutes  have  gone.  .  .  .  Nearly  all  our 
windows  have  gone,  and  some  of  our  wounded 
have  been  cut  with  the  falling  glass.  My  flat  has 
its  disadvantages,  so  I  lie  down  on  any  spare  bed 
in  the  hospital,  dressed  of  course.  .'  .  .  The  hospital 
where  we  are    working    was  a  mill   before  the 


98 


(The  Brttiab  3ournal  of  IRursiuG. 


August  lo,   1918 


Ropal  BrItisI)  Rurses'  ilssociation. 


(Incorporated  Dp 


Ropal  Cbarten) 


THIS   SUPPLEMENT   BEING   THE'  OFFICIAL    ORGAN    OF    THE    CORPORATION. 


THE  TRAINING  OF  CHILDREN  OF  FROM 
TWO  TO  FIVE  YEARS  OF  AGE. 


Synopsis  of  a  Lecture  given  at  Woolwich  under 
the  auspices  of  the  City  Parochial  Charities 
by  Miss  Kate  C.  Atherton,  M. R.B.N. A., 
Medallist  of  the  Royal  Sanitary  Institute. 

In  commencing  a  very  interesting  lecture  on 
"The  Training  of  Children,"  Miss  Atherton 
drew  attention  to  the  fact  that,  although  one 
cannot  change  the  nature  of  a  child,  much  can 
be  done  by  careful  training  and  by  environment 
so  to  direct  his  tendencies  that  his  character  will 
be  such  as  to  help,  and  not  to  hinder  him,  in  the 
battle  of  life,  and  to  make  him  in  every  sense  a 
useful  member  of  the  community.  Undue 
repression  in  the  training  of  children  is  just 
as  harmful  as  over-indulgence  ;  to  this,  as  well 
as  to  a  shock  or  perhaps  some  nervous  condi- 
tion in  childhood,  mental  trouble  in  after  life  is 
not  infrequently  traceable.  Children  have  the 
same  emotions  as  older  people— love,  jealousy, 
hope,  and  fear — and  it  is  to  be  remembered  that 
a  child  who  has  a  great  capacity  for  love  has 
often  a  similar  capacity  for  jealousy,  so  that 
his  very  love  for  others  may  indirectly  be  made 
the  cause  for  stimulating  a  tendency  to 
jealousy,  and  may  give  rise  to  a  great  deal  of 
unhappiness,  and  even  to  ill-health.  A  child, 
being  immature,  is  very  crude  and  simple,  and 
one  of  the  first  lessons  to  teach  him  is  that 
of  obedience.  This  can  often  be  practised  as 
a  game,  and,  where  there  are  two  children,  they 
can  compete  as  to  who  will  perform  the  com- 
mand most  quickly.  In  this  exercise  care  must 
be  taken  not  to  carry  it  to  the  point  of  fatigue. 
Drill  answers  much  the  same  purpose  for  older 
children.  Organised  exercises,  as  soon  as  the 
child  is  able  to  perform  these,  are  very  bene- 
ficial ;  they  improve  physical  development,  lead 
to  unfolding  of  the  mind,  cause  the  child  to 
realise  that  there  is  a  right  way  and  a  wrong 


way  of  doing  the  simplest  thing,  and  uncon- 
sciously they  develop  in  the  child  the  habit  of 
doing  promptly  what  he  is  told. 

Observation  is  of  the  greatest  importance  in 
those  to  whom  there  is  entrusted  the  care  of 
child  life ;  in  fact,  to  deal  successfully  with 
children  one  must,  so  to  speak,  become  a  child, 
must  observe  and  understand  to  the  utmost 
possible  extent  the  psychology  of  the  child 
mind.  By  observations  and  comparisons  we 
arrive  at  conclusions  which  help  us  to  under- 
stand each  individual  child.  Take  fjr 
instance,  the  immoral  child.  Very  often  he  will 
be  found  to  be  in  some  respect,  perhaps  only  ^n 
a  very  minor  degree,  physically  defective.  It  is 
wrong  to  train  such  a  child,  or  one  whose  health 
is  not  good,  on  the  same  lines  as  a  normal  child. 
In  such  cases  suggestion  often  plays  a  very 
important  part  in  the  training.  Then  there  is 
the  rheumatic  child,  constantly  quarrelling  and 
"grizzling";  in  all  probability  he  is  nervous, 
delicate,  timid,  and  difficult  to  please,  but  rarely 
actually  ill.  Such  children  should  be  treated 
with  the  greatest  consideration,  but  should  be 
encouraged  to  mix  much  with  other  children, 
or  they  are  apt  to  develop  into  the  "  mother's 
darling  "  type,  and  to  become  an  affliction  alike 
to  themselves  and  their  elders.  In  studving 
children  always  observe  the  signs  of  nutrition, 
expression,  movement,  and  posture.  Fatigue, 
for  instance,  is  often  indicated  by  posture.  Ask 
a  tired  child  to  extend  the  arms  on  a  level  with 
the  shoulders,  and  it  will  invariably  happen  that 
the  arms  will  droop  and  the  thumbs  hang  down. 

Self-control  and  independence  should  be 
cultivated  in  children.  A  well-managed  child 
in  this  respect  is  usually  a  well-balanced  adult 
in  later  life.  Regularity  is  really  the  keynote 
to  successful  training,  and  indeed  applies  to  a 
period  previous  to  the  actual  birth  of  the  child; 
we,  who  have  much  to  do  with  welfare  work, 
are  constantly  impressing  upon  the  mother  the 
importance  of  regular  habits  during  pregnancy. 


August  lo,   1918 


Zbc  16i1ti6b  3ournal  of  IRursino. 


9$ 


Out  of  regular  habits  self-control  is  evolved, 
and,  in  order  to  develop  independence,  never  do 
for  a  child  what  he  is  quite  capable  of  doing-  for 
himself;  rather,  indeed,  he  should  be  encour- 
aged to  do  things  for  those  around  him. 
He  will  enjoy  performing  little  duties,  and  even 
the  boys  should  be  taught  to  help  in  the  home ; 
this  will  teach  them  to^use  their  hands,  and  will 
sharf>en  their  faculties.  It  is  impossible  to 
overrate  the  pleasure  a  child  has  in  using  his 
hands,  and  it  is  never  too  early  to  teach  him 
to  handle,  to  grasp,  and  later  to  pile  up  and 
throw  about  his  toys  Complaints  are  some- 
times made  about  the  "  destructiveness  "  of 
children,  but  it  must  be  remembered  that  some- 
times this  arises  from  the  mere  desire  to  be 
creative,  and  then  it  should  be  encouraged 
rather  than  otherwise.  Those  of  us  who  have 
worked  among  children  in  the  hospitals  and 
elsewhere  often  hear  the  demand,  "  more  pic- 
tures, more  scissors,  and  some  paste,  please." 

Some  children  have  a  great  difficulty  in  being 
accurate,  and  this  must  not  be  confused  with 
lying,  for  they  are  often  delighted  to  relate  an 
experience  which  is  really  all  imagination.  In 
such  cases  the  child  should  be  taught  to  explain 
that  he  is  "  only  pretending." 


AN  ATTRACTIVE  CLUB  FOR  NURSES. 


Members  coming  up  to  town  for  the  holidays 
frequently  write  to  enquire  where  they  can  find 
a  comfortable  and  central  club  at  which  they 
may  stay.  They  will  find  nowhere  more  plea- 
sant quarters  than  the  Kensington  Gardens 
Nurses'  Club,  57,  Kensington  Gardens  Square, 
W.  It  is  within  easy  reach  of  all  the  important 
parts  of  the  city,  and  the  Principal  of  the  Club, 
Miss  B.  Cave,  had  a  very  intimate  knowledge 
of  club  life  and  the  requirements  of  private 
nurses  before  ever  she  established  her  own  very 
popular  club.  Its  rooms  are  large,  airy,  and 
very  tastefully  furnished,  Ajhile  the  numerous 
contrivances  for  adding  to  the  convenience  and 
comfort  of  the  nurses,  and  the  exactitude  with 
which  their  telephone  messages  are  attended 
to,  add  very  much  to  the  value  of  the  club  as  a 
residential  one  for  private  nurses.  One  much- 
travelled  nurse  expressed  the  view  that  she  had 
never  sojourned  in  any  club  where  the  atmo- 
sphere seemed  more  homelike  or  offered  a 
greater  sense  of  freedom. 

Miss  Cave  is  a  MembeV  of  the  Royal  British 
Nurses'  Association  and  of  the  Incorporated 
Society  of  Trained  Masseuses,  and  her  club  is 
one  of  the  very  few  large  clubs  for  nurses  in 
London  which  has  a  trained  nurse  at  its  head. 


CORRESPONDENCE. 

THE  BADGE  OFMEMBERSHIP  OFTHE  ROYAL 
CHARTERED  CORPORATION  OF  NURSES. 

To  the  Secretary,  R.B.N.A. 
Dear  Madam, — I  have  seen  a  picture  of  the  badge 
of  our  Association  in  the  official  organ,  and  I  should 
like  to  draw  attention  to  the  fact  that  all  the 
members  should  make  a  point  of  wearing  it  who 
can.  I  often  meet  nurses  from  our  Association,  and 
we  always  recognise  one  another  as  fellow  members 
through  our  badge.  I  have  heard  of  two  of  our 
members  who  met  out  on  the  Rockies,  and  one  was 
able  to  give  the  greatest  help  to  the  other,  when, 
but  for  the  R.B.N. A.  badge,  they  would  never  have 
known  that  they  were  members  of  the  same  body, 
or  even  fellow  nurses.       j  g,^^    ^.j, 

H.  Mac  WILLIAM, 
M.R.B.N.A. 
A    KIND    THOUGHT. 

To  the  Secretary,  K.B.N. A. 

Dear  Madam, — A  few  days  ago  I  heard  of  a 
member,  suffering  from  an  incurable  disease,  who 
felt  the  keenest  disappointment  because  she  could 
not  afford,  owing  to  the  expenses  of  her  illness,  to 
take  The  British  Journal  of  Nursing,  as  she  had 
been  in  the  habit  of  doing  our  monthly  paper.  Her 
subscription  was  promptly  paid  for  her  by  another 
member,  but  I  hear  that  there  are  quite  a  number 
of  the  old  nurses  who  find  the  cost  of  a  weekly  paper 
too  much  for  their  slender  incomes. 

\\  e  have  had  to  discontinue  the  Recluse  Club 
since  the  war  began.  Might  I  suggest  that  it  now 
bo  revived  for  a  slightly  different  purpose  than  its 
original  one — that  of  supplying  our  old  members 
with  an  illustrated  paper  each  week?  We  used 
to  subscribe  a  shilling  annually,  and  I  think  it 
would  be  nice  if  we  young  members  could  link  up 
and  subscribe  the  same  amount  again,  just  to  pre- 
vent the  old  members  who  helped  to  found  the 
Association,  and  who  have  belonged  to  it  for  so  long, 
from  feeling  shut  out  or  left  behind.  Seven  of  us 
could  keep  one  old  nurse  in  touch  with  it  right  to 
the  end  in  this  way,  and  I  know  that  it  is  a  real 
grief  to  some  to  feel  that  they  will  no  longer  have 
their  Nurses'  Journal  each  month. 

The  President's  letter  has  given  us  all  pleasure, 
and  I  for  one  warmly  endorse  what  she  says  about 
welcoming  other  nurses  to  a  share  in  our  Charter. 
I  am  glad,  too,  that  you  have  made  this  new 
arrangement  about  the  official  organ,  for  many  of 
Us  have  been  very  indignant  about  the  one-sided 
propaganda  for  the  College  in  the  other  papers.  I 
hope  that  other  nurses  will  follow  the  example  of 
the  R.B.N. A.  members  and  "  wake  up." 
I  am,  &c., 

V.  M.  Cobbett, 
M.R.B.N.A. 

Application  forms  for  registration  and  member- 
ship can  be  obtained  on  application  to  the  Secretary, 
R.B.N..\  ,  10,  Orchard  Street,  Portman  Square, 
W.  I. 

(Signed)     Isabel  Macdonald, 

Secretary  to  the  Corporation. 


loo 


TLbe  Britteb  Journal  ot  TRursmg, 


August  lo,   1918 


LONDON    HOSPITAL    SYSTEM. 


THE    GRAVE    OF    FLORENCE 
NIGHTINGALE. 


In  the  House  of  Commons  on  July  31st  Major 
Chappie  asked  the  Uuder  Secretary  for  War 
whether  the  certificate  of  training  presented 
in  evidence  of  qualification  by  London-^  Hospital 
nurses  applying  for  posts  in  the  Army  Servdce 
states  that  the  nurse  has  had  three  years'  training 
in  the  hospital  or  only  two  years'  training  ? 

Mr.  Macpherson  replied  that  steps  are  always 
taken  to  ascertain  that  a  nurse  has  completed  the 
necessary  period  of  training  and  service  in  the 
wards.  In  reply  to  Sir  C.  Henry  he  said  that 
there  was  no  differentiation  in  the  nurses  that 
come  from  the  London  Hospital  and  from 
others. 

Major  Chappie  then  said  :  "  Is  the  Right  Hon. 
gentleman  aware  that  he  told  us  that  a  three 
years'  certificate  of  training  is  necessary  for 
appointment  to  the  Army  Nursing  Service,  and  I 
ask  him  in  the  present  question,  does  the  London 
Hospital  certificate  of  training  say  two  years  or 
three  years  ?  " 

Mr.  Macpherson  replied  :  "I  cannot  add  any- 
thing to  the  answer  I  have  given,  but  I  would  like 
to  point  out  that  the  three  years  includes  two 
years'  training  and  one  year's  service  in  the 
wards." 

Pressed  "further  by  Major  Chappie,  Mr. 
Macpherson  said  :  "  We  are  satisfied  in  every  case 
with  the  nurse  who  comes  from  the  London 
Hospital,  or  any  other  hospital,  if  she  has  com- 
pleted the  necessary  period  of  training  and  service 
in  the  ward." 

Thus,  though  the  London  Hospital  certifies  its 
nurses  at  the  end  of  two  years,  the  War  Office 
requires  that  they  shall  serve  another  year  in  the 
wards  before  they  are  eligible  for  Queen 
Alexandra's  Imperial  Military  Nursing  Service, 
which,  presumably,  indicates  that  it  does  not 
consider  a  nurse  certified  at  the  end  of  two  years 
adequately  qualified. 

Major  Chappie  also  asked  the  President  of  the 
Board  of  Education  whether  nurses-trained  at  the 
London  Hospital  have  been  appointed  to  any 
posts  under  the  jurisdiction  of  the  Board.  Before 
putting  the  question  he  also  asked,  as  a  point  of 
Order,  why  the  following  words  were  deleted  from 
the  question  :  "  Whether  he  is  aware  that  nurses 
at  the  London  Hospital  are  taken  from  their 
training  in  the  wards  and  sent  out  to  do  private 
nursing  at  the  end  of  their  second  year,  receiving 
13s.  per  week,  while  the  hospital  draws  riot  less 
than  29s.  per  week  profit  from  their  earnings  ;  and 
whether  he  will  see  that  no  nurses  are  appointed 
from  hospitals  that  exploit  their  nurses  in  this 
way  "^with  those  words  deleted  the  question  is 
meaningless  ?  " 

The  Speaker  replied  that  the  \vords  were  in  the 
nature  of  giving,  and  not  asking,  information  to 
a  Department  which  was  not  responsible  for  it, 
and  further  that  the  Board  of  Education  had  no 
control  over  the  training  of  nurses  at  the  London 
or  any  other  hospital. 


"  A  Londoner,"  who  appealed  recently  in 
the  Telegraph  for  support  for  the  Gold  and 
Silver  Fund  of  the  British  Red  Cross  Society, 
should  know  his  London  and  his  nursing 
history  better  before  he  conjures  up  the  soul  of 
Florence  Nightingale  in  support  of  the  appeal. 
He  (oris  it  she?)  writes  : — 

"  Among  your  tarnished  treasures  you  will 
find  gold  bracelets  that  even  for  your  husband's 
sake  you  could  never  wear  again,  and  that 
hitherto  you  have  never  dared  to  get  rid  of. 
To  day  the  soul  of  Florence  Nightingale  cries 
to  you  insistently  that  the  Red  Cross  can  best 
be  helped  by  those  very  discarded  trinkets  that 
meant  so  much  to  the  women  of  her  own 
generation.  There  were  life  and  labour  in  the 
trenches  of  that  day  too.  From  her  grave  in 
the  Abbey  she  will  thank  you — if  it  is  thanks 
you  ask  for." 

"  A  Londoner  "  will  search  in  vain  amongst 
the  graves  of  the  great  ones  of  the  earth  in  the 
Abbey  at  Westminster  for  that  of  Florence 
Nightingale.  The  nation  would  willingly  have 
paid  that  last  tribute  to  her  genius,  but  Miss 
Nightingale  expressly  directed  in  her  will  that 
her  funeral  should  be  of  the  quietest  possible 
character,  and  those  who  wish  to  stand  beside 
her  grave  must  make  a  pilgrimage  to  the  quiet 
little  Hampshire  town  of  Romsey,  and  thence 
drive  deep  into  the  heart  of  the  country  across 
the  lovely  river  Test,  and,  if  they  can  get  p>er- 
mission  from  the  present  owner,  through 
Embley  Park,  close  under  the  windows  of 
Embley  House,  which  Miss  Nightingale  in  her 
ardent  girlhood  would  like  to  have  converted 
into  a  hospital,  and  so,  through  deep  hedge- 
rows, till  they  come  to  the  tiny  village  of  East 
Wellow,  and,  arrived  at  its  typically  English 
church,  with  its  high-pitched,  red-tiled  roof, 
and  black  wooden  tower,  pass  through  the 
turnstile,  at  the  side  of  the  lych  gate,  to  the 
Nightingale  tomb.  On  three  of  the  sides  of 
this  are  inscribed  the  names  of  Miss  Nightin- 
gale's father,  mother,  and  sister  respectively. 
The  fourth  panel  bears  the  simple  inscription  r 

+ 

F.  N. 

Born  12. May,  1820. 
Died  13  August,  1910. 

It  faces  the  church  where  Miss  Nightingale  so 
often  worshipped.  She  is  still  remembered  by 
old  inhabitants,  and  on  the  dav  of  her  funeral 


August  lo,   1918 


CTbe  Brlti0b  3ournal  of  TRureino. 


lOI 


a  former  porter  at  Romsey,  then  blind,  who 
knew  her  at  Embley,  begged  to  be  led  on  the 
platform  to  hear  the  footsteps  of  the  bearers 
"  bringing  her  home  "  ;  the  coffin  was  preceded 
by  six  old  tenants  and  workmen  on  the  Embley 
estate  who  knew  her,  and,  in  the  porch  of  the 
church,  as  the  procession  passed  in,  stood  John 
Kneller,  a  Crimean  veteran  who  served  in  the 
trenches  at  Sevastopol,  and  was  for  three 
months  in  the  hospital  at  Scutari,  and  familiar 
with  the  sight  of  "  The  Lady  of  the  Lamp  "  on 
her  night  rounds.  j^    ^ 

OUR   ROLL  OF  HONOUR. 

NURSING    SERVICE. 

Died. 
Hills,  Sister  M.  E.,  T.F.N.S. 

Miss  Hills,  who  was  trained  at  St.  Bartholomew's 
Hospital,  London,  had  a  charming  personality 
and  was  much  loved  by  the  staff  and  patients  of 
the  53rd  General  Hospital,  B.E.F.,  France,  to 
which  she  was  attached,  and  where  she  was  very 
happy  in  her  work. 

The  following  announcement  appeared  in  the 
Daily  Orders  of  the  53rd  General  Hospital  on 
July  24th  :— 

"  The  Commanding  Officer  much  regrets  to 
announce  the  death  of  Miss  M.  E.  Hills,  Sister 
T.F.N.S.,  which  took  place  in  Queen  Alexandra's 
Military  Hospital,  London,  on  July  22nd,  1918. 

"  Sister  Hills  was  called  up  for  duty  at  the  ist 
London  General  Hospital  on  March  31st,  191 6, 
and  served  there  until  she  came  out  for  duty  with 
No.  53  General  Hospital  on  April  24th,  191 7.  She 
was  at  once  posted  to  Calais  and  rejoined  this  Unit 
on  October  13  th,  191 7. 

"  As  Sister-in-Charge  of  Wards  7  and  8,  as 
Night  Sister,  and  again  as  Sister-in-Charge  of 
Hut  No.  7,  she  endeared  herself  to  all  who  had 
the  privilege  of  working  with  her  or  under  her,  and 
the  patients  under  her  charge  had  something  more 
than  respect  and  regard  for  her. 

"  Skilful,  kind,  capable  and  devoted  to  her 
work,  her  death  is  a  great  loss  to  No.  53  General 
Hospital,  and  the  sympathies  of  all  ranks  will  go 
out  to  Miss  Hills'  relatives  and  friends  in  their 
bereavement."  , 

Amongst  the  floral  tiibutes  sent  was  one  from 
the  nursing  staff  of  the  53rd  General  Hospital,  a 
copy  of  the  Badge  of  the  Territorial  Force  Nursing 
Service  in  scarlet  and  white  flowers. 

A  memorial  service  was  held  in  the  Church  Tent 
at  the  53rd  General  Hospital  on  July  5th. 


MASQUERADED  AS  A  V.A.D.  NURSE. 


The  sinking  of  the  Australian  Ambulance 
Transport,  Warilda,  carrying  some  600  seriously 
wounded  men,  adds  to  the  heavy  score  to  be 
settled  with  an  inhuman  foe  when  the  day  of 
reckoning  comes.  It  is  feared  that  over  100  of 
those  on  board  lost  their  lives,  the  majority  being 
wounded  helpless  soldiers.  Amongst  the  drowned 
is  Mrs.  Long,  Chief  Controller,  Q.M.A.A.C.    ' 


The  suspicious  conduct  of  a  woman  wearing  the 
uniform  of  a  V.A.D.  nurse  on  the  occasion  of  the 
arrival  of  a  trainload  of  wounded  at  the  Victoria 
Station  lecently  attracted  attention,  and  the  sequel 
was  that  at  the  Nottingham  Guildhall  she  admitted 
that  she  had  no  right  to  appear  in  such  a  dress. 

She  was  Emma  Elizabeth  Hunt,  of  Kirkstead 
Terrace,  Kirkstead  Street,  and  Captain  J.  A.  H. 
Green,  prosecuting,  explained  that  the  woman  was 
noticed  by  Dr.  T.  Lindley,  who  was  in  charge  of 
the  special  constables.  Asked  to  produce  her 
certificate,  she  was  unable  to  do  so.  On  her 
uniform  were  brass  shoulder  titles  indicating  that 
she  was  a  member  of  the  Notts.  20th  Detachment, 
which  had  no  existence.  She  gave  a  false  address, 
but  was  tiacked  to  her  real  one  by  a  detective,  to 
whom  she  stated  that  she  had  been  admitted  as 
a  member  of  a  detachment  by  Mrs.  Coulby.  A 
week  or  tf  n  days  previously  she  had  been  seen  at 
the  Midland  Station  dancing  about  with  soldiers  in 
uniform,  and  kissing  them  "  Good-bye."  Empha- 
sising the  necessity  that  tailors  and  drapers  should 
take  care  not  to  supply  the  uniform  to  unauthorised 
people.  Captain  Green  pointed  out  that  otherwise 
no  end  of  mischief  might  arise. 

Defendant  was  sent  to  prison  for  14  days. 

If  this  masquerader  had  worn  the  uniform  of 
the  trained  staff  of  the  General  Hospital,  Notting- 
ham, she  might  have  kicked  capers  from  now  till 
Doomsday,  as  the  civil  professional  nurse's 
uniform  is  not  protected  by  law. 


APPOINTMENTS. 

MATRON. 

County  Hospital,  Ayr. — Miss  I.  M.  Crichton 
has  been  appointed  Matron.  She  was  trained  at 
Chalmers  Hospital,  Edinburgh,  and  has  held  the 
position  of  Sister  at  the  West  Kent  Hospital, 
Maidstone,  and  of  Staff  Nurse  at  the  Edmonton 
General  Hospital 

NURSE  MATRON. 

Infectious  Diseases  Hospital,  Montrose.  —  Miss 
A.  R.  Hay  has  been  appointed  Nurse  Matron. 
She  was  trained  at  the  Alloa  Infectious  Diseases 
Hospital,  and  at  the  Royal  Infirmary,  Halifax. 

CHARGE     NURSE. 

Tlie  Infirmary,  Lichfield. — Miss  G.  M.  Foster 
has  been  appointed  Charge  Nurse.  She  was 
trained  in  the  same  institution. 

QUEEN    ALEXANDRA'S   IMPERIAL    MILITARY 
NURSING    SERVICE. 

Miss  D.  M.  Priestley  to  be  Staff  Nurse. 


PRESENTATION. 

On  leaving  Kensington  Infirmary  to  take  up 
work  as  a  Chaplain  to  the  Forces  the  Rev.  A.  Lom- 
bardini  was  the  recipient  of  many  gifts,  including  a 
dressing  case  from  the  Nurses'  League,  and  a 
fountain  pen,  and  field  water  bottle  from  the 
patients. 


I02 


^be  »nti9b  3oiirnal  of  l^ursing. 


August  lo,   1918 


NURSING    ECHOES. 


The  Lord  Mayor  of  Norwich  has  announced 
that  Queen  Alexandra  has  consented  to  open 
the  new  Edith  Cavell  Memorial  Home  at 
Norwich,  a  decision  which  will  give  great 
pleasure  to  many  nurses. 


The  Royal  Sanitary  Institute,  90,  Bucking- 
ham Palace  Road,  London,  S.W.  i,  has 
now  issued  its  prospectus  for  its  autumn 
courses  of  lectures  for  the  examinations  for 
Women  Health  Visitors,  School  Nurses,  and 
Maternity  and  Child  Welfare  Workers,  begin- 
ning on  Wednes- 
day, September 
i8th,  and  Monday, 
September  23rd,  at 
6  p.m.  Candidates 
must  possess  a 
nursing  qualifica- 
tion before  enter- 
ing for  these  ex- 
aminations. Not 
only  is  the  know- 
ledge obtained  by 
attendance  at  these 
lectures  and  de- 
monstrations valu- 
able to  its  posses- 
sor, including  in- 
■  struction  on  many 
subjects  not  dealt 
with  in  the  ordi- 
nary curriculum  of 
a  nurse's  training, 
but  the  certificates 
awarded  to  suc- 
cessful candidates 
after  the  examina- 
tion held  at  the  end 
of  the  courses,  are 
definite  assets,  as 
the  Women  Health 
Visitors  and  School 
Nurses'  certificate 
of  the  Royal  Sani- 
tary Institute  is 
recognized    by    the 

Local  Government  Board  as  qualifying  for  the 
appointment  of  Health  Visitor,  and  that  in 
school  hygiene  is  accepted  by  the  Education 
Committee  of  the  London  County  Council  and 
other  large  towns  as  a  qualification  for  certain 
appointments. 


MISS  CARRIE    M.  HALL,    R.N., 
Chief  Nurse  for  the  American  Red  Cross  in  Great  Britain. 


Cross  Society  at  Colebrook  Lodge,  West  Hill, 
Putney  Heath.  The  house,  which  belongs  to 
Colonel  Ryan,  will  accommodate  twenty-five 
nurses,  stands  in  three  acres  of  lovely  grounds, 
and  is  ideal  for  the  purpose.  By  and  by, 
when  the  nurses,  now  for  the  most  part  full  of 
energy,  are  feeling  the  strain  of  war  work  and 
the  need  of  rest  and  recuperation,  the  hos- 
pitality of  Colebrook  House  will  be  welcome 
indeed.  At  present  it  is  under  the  direct  charge 
of  Miss  Carrie  M.  Hall,  R.N.,  Chief  Nurse  for 
the  American  Red  Cross  in  Great  Britain,  but 
she  hopes  to  delegate  this  duty  as  the  demands 
on  the  Horre  become  more  strenuous. 

By  permission  of 
Mr.  Frank  M. 
America,  Director 
on  Information  of 
the  American  Rpd 
Cross  in  London 
(the  headquarters 
of  which  are  at 
40,  Grosvenor 
Gardens,  S.W.), 
and  by  the  courtesy 
of  the  Editor  of  the 
Gentlewoman,  we 
are  able  to  publish 
the  accompanying 
portrait  of  Miss 
Carrie  Hall,  taken 
in  her  office  at 
Headquarters.  It 
will  be  remembered 
that  about  a  year 
ago  Miss  Hall 
came  over  in 
charge  of  the  Har- 
vard Unit,  which  has 
seen  active  service 
in  France,  and  her 
experience  in  this 
connection,  as  well 
as  her  administra- 
tive work  as  Super- 
intendent of  Nurses 
at  the  Peter  Bent 
Brigham  Hospital, 
Boston,  U.S.A.,  arc 
excellent  qualifications  for  her  present  posi- 
tion, which  demands  a  woman  of  tact,  profes- 
sional skill,  and  experience.  On  the  wall 
behind  her  desk  hangs  a  large  map  of  Northern 
France,  of  the  details  of  which  Miss  Hall 
has  an  intimate  knowledge. 


A  Convalescent  Home  for  American  nurses, 
of  whom  there  are  some  500  now  working  in 
this  country,  exclusive  of  the  thousands  in 
France,  has  been  opened  by  the  American  Red 


Sir  William  Treloar,  who  has  done  so  much 
for  tuberculous  children,  by  founding  the  hos- 
pital at  Alton,  announces  further  developments 
in  prospect  at  Hayling  Island. 


August  lo,   1918 


Zbc  British  3ournal  of  IRurstnQ. 


103 


NURSES' 


MISSIONARY 

[Contributed.] 


LEAGUE. 


Another  Nurses'  Missionary  League  Camp — this 
time  arranged  to  suit  dwellers  in  the  North.  It 
was  with  feelings  of  great  equanimity  I  embarked 
from  Ireland  and  wended  my  way  to  Mottram-St. 
Andrew,  Cheshire.  I  was  rejoicing  in  the  thought 
that  I  was  an  outsider  going  to  have  a  good  time 
as  such,  looking  on,  and  finding  pleasure  in  the 
observance  of  others  from  a  nice,  quiet  corner— so 
I  told  myself.  But — and  such  a  big  but — little 
by  little  my  idea  fell  to  pieces,  as  I  realised  I  was 
not  to  be  an  island  out  on  my  own,  but  a  member 
of  a  very  happy,  gladsome  community.  My  dis- 
illusionment commenced  at  the  station,  where  I 
was  met  by  the  sister  of  our  hostess  who  handed 
my  belongings  to  the  official  for  delivery  and  we 
set  off  together  for  the  Camp.  The  country  was 
charming,  and  every  few  moments  one  felt  it 
impossible  to  be  silent  and  had  to  e^jclaim  about 
the  beauty  of  it  all.  As  we  neared  Green  Dais  we 
were  met  by  our  indefatigable  hostess  and  secre- 
tary, who  extended  me  a  very  warm  welcopie. 
How  at  home  I  felt  ;  the  "corner  "  was  quietly 
disappearing. 

Arrivals  continued  at  frequent  intervals  What 
a  joyful  whirl  of  excitement  meeting  everyone  ; 
parties  on  the  road  coming  up,  crossing  others  on 
the  way  down  to  meet  still' further  comers  from 
hospitals,  &c.,  there  being  but  one  small  regret — 
you  could  not  be  going  both  ways  at  once. 

We  quickly  shook  into  our  places,  and  our  daily 
course  took  shape.  Early  tea  and  the  energetic 
hurried  off  to  try  to  raise  an  appetite  (none  too 
difficult  to  woo)  for  breakfast.  We  laughed  and 
chatted  over  this  meal,  plans  were  discussed, 
arrangements  made  for  meeting  those  who  could 
only  pay  short  visits,  objects  of  interest  to  be  seen 
&c.  After  singing,  reading  and  prayers,  we  all 
hastened  out  of  doors,  returning  at  noon.  We 
then  assembled  for  a  Bible  study.  On  three 
occasions  we  were  led  by  Mrs.  Kirk  [nSe  Stubbs)- 
These  studies  were  most  helpful  as  each  was  asked 
to  take  part  if  inclined.  No  hesitation  was  felt  in 
the  asking  of  questions  or  testifying  to  any  passage 
that  had  been  in  any  wise  illumined. 

After  dinner  at  i  p.m.,  we  followed  our  own 
devices,  whether  resting,  walking,  reading, 
writing  or  sewing.  We  were  such  a  jolly,  happy 
lot.  Tea  at  four  o'clock  was  served  out  of  doors 
if  weather  permitted.  Conversation  then  fre- 
quently ensued  on  missionary  subjects,  Mrs. 
Kirk  telling  of  her  hospital  experiences  in  China, 
from  whence  she  had  recently  returned.  She  was 
brimming  over  with  interest,  and  we  all  felt 
how  very  delightful  it  was  to  listen. 

One  also  who  came  from  Ceylon  and  India 
could  find  an  audience  at  any  moment  to  talk 
over  the  methods  of  work,  &c.,  among  the  many 
varied  nationalities  there  found,  each  of  which  is 
of  intense  interest  from  the  missionary  point  of 
view. 

Our  camp  (as  the  outsider  in  the  corner  now 


calls  it)  has  been  a  great  help  all  round.  One 
feels  freshened  and  restored  in  every  way — mind, 
body,  soul  and  spirit.  We  felt  it  was  good  to  be 
here,  even  for  a  short  time. 

I  would  like  to  refer  to  the  kindness  of  the 
curate  of  the  pai"ish  church,  who  welcomed  us  to 
all  the  services  and  arranged  for  a  special  earlv 
celebration,  where  we  could  all  unite  and  renew 
our  vows  to  Christ  our  Head,  pledging  ourselves 
to  be  His  faithful  servants  and  followers  to  our 
life's  end.  Then  again  we  would  thank  the  Rev. 
H.  E.  Stevens,  who,  though  greatly  pressed  for 
time,  came  over  to  the  camp  and  held  a  short 
service. 

Our  farm  friends  were  most  kind  in  seeing  to 
our  bodily  wants.  In  these  days  of  permits, 
ration-cards,  &c.,  one  cannot  enlarge  upon  it, 
but  sit  down,  marvel,  and  be  thankful.  Our 
happy  week  came  to  an  end  all  too  soon,  but  one 
and  all  echo  the  words  of  the  old  toast  :  "  To  our 
next  merrie  meeting." 


DORMIQENE. 

We  have  received  several  inquiries  from  our 
readers  concerning  this  drug,  and  a  London 
phvoician  to  whom  we  referred  the  question  has 
been  good  enough  to  answer  as  follows  : — Dor- 
migene  used  to  be  known  and  was  widely  used 
under  the  trade  name  of  "  Bromural."  It  is,  in 
simple  language,  a  bromide  valerian  combination 
and  I  have  found  it  valuable  in  nerve  cases  as  a 
very  efficient  sedative.  Especially  in  the  ex- 
tremely troublesome  series  of  nervous  and  organic 
congestions  associated  with  the  menopause  in 
women,  and  due  of  course  to  the  presence  in  the 
body  of  the  blood  previously  lost  each  month  and 
the  consequent  stress  on  the  circulation.  I  have 
found  that  Dormigene  is  more  useful  than  the 
ordinary  bromides  of  potash  or  ammonium,  which 
have  for  so  many  years  been  our  great  resource  in 
medicinal  treatment  of  these  ca,ses.  Moreover 
Dormigene  does  not  seem  to  me  to  exert  either  the 
depressing  effects  which  bromides  so  often  cause, 
nor  do  patients  while  taking  it  seem  to  suffer  from 
the  acne  eruptions  which  are  so  frequent  and 
troublesome  a  consequence  of  a  continued  bromide 
couise.  T  have  not  used  this  drug  as  a  hypnotic 
and  cannot  therefore  give  3'ou  any  opinion  on  that 
point  ;  but  as  a  matter  of  fact  I  have  found  the 
bromides  in  nerve  cases  only  act  as  sleep  pro- 
ducers when  given  in  large  doses,  and  I  have,  there- 
fore, come  to  rely  on  such  drugs  as  trional  for  that 
purpose. 

■  •  ■ 

Gen.  Sir  Arthur  S:oggett,  K.C.B.,  K.C.M.G., 
K.C.V.O.,  has  joined  the  Board  of  Bovril,  Ltd. 
Sir  Arthur  was  Director-General  of  the  Army 
Medical  Service  from  June  ist,  1914,  to  June  ist 
1918,  and  from  October,  1914,  to  June  ist,  1918, 
was  Director-General  of  the  British  Armies  in 
France  and  Chief  Commissioner  of  the  Order  of 
St.  John  of  Jerusalem  and  the  British  Red  Cross 
Societies. 


I04 


JLbc  Briti0b  3ournal  of  'Wursina. 


August  lo,   1918 


WELL  EARNED  DISTINCTION, 

The  King  has  conferred  on  Dr.  Alfred  Cox  the 
Order  of  the  British  Empire  and  the  rank  of 
Member  of  the  same  Order  on  Miss  Laurence. 

At  the  Annual  Representative  Meeting  of  the 
British  Medical  Association  Dr.  Garstang,  chair- 
man of  the  Medico-Political  Committee,  referred 
to  the  fact  that  as  a  result  of  Dr.  Cox's  work  for 
the  Central  Medical  War  Committee  he  had  been 
honoured  by  the  King,  and  proposed  a  vote  of 
very  hearty  congratulations  to  Dr.  Cox,  and  also 
of  congratulations  to  Miss  Laurence,  whose  work 
had  been  of  great  value  to  the  office.  This  was 
warmly  seconded  by  Dr.  Jenner  Verrall,  and 
acknowledged  by  Dr.  Cox. 


BOOK    OF   THE   WEEK. 


KAREN.* 

"  I  am  going  to  Germany,"  I  said  looking  up 
from  my  letters, 

"  What  for  ?  "  said  Dad.  He  never  wasted 
words. 

"  Eugenie  Gutheim  is  going  to  be  married,  and 
wants  me  to  come  to  her  wedding.  I  promised  her 
I  would  if  she  won  her  bet." 

"  What  do  you  mean  by  saying  she  has  won  her 
bet  I  " 

"We  had  a  bet  together  when  she  left  school. 
I  said  she  would  marry  a  business  man,  and  she 
said  she  would  marry  an  officer,  however  difficult 
it  was." 

"  Why  should  it  be  difficult  ?  " 

"  Because  the  Gutheims  are  Jews.  Eugenie  told 
me  that  no  officers  visited  at  their  house.  Yet  she 
has  pulled  it  off." 

This  conversation  gives  Ihe  key  to  the  eventful 
visit  of  Kaien  to  Germany  prior  to  the  war.  It 
was  in  the  train  between  Cologne  and  Reichen- 
stadt  that  she  met  the  German  officer  that  she 
afterwards  married.  There  was  a  great  gulf  fixed 
between  the  vulgar  Gutheims  and  the  noble  family 
of  Karen's  fianc6,  and,  of  course,  this  made  com- 
plications from  the  outset.  Added  to  this,  Oscar 
Strauss,  upon  whom  Emma  Gutheim  had  set  her 
somewhat  heavy  affections,  had  chosen  to  regard 
Karen  attentively  whilst  he  sang,  "  Du  bist  wie  eine 
Blume."  The  result  was  a  violent  outburst  from 
Emma  and  the  return  of  Karen  to  England.  This 
Nvas  before  her  engagement  to  Graf  Wolfram. 

Karen,  however,  got  a  great  deal  of  amusement 
out  of  the  affaii. 

"  To  watch  Frau  Gutheim  and  Eugenie  conduct 
Emma's  love  affairs  was  like  watching  an  old- 
fashioned  play,  or  reading  an  old-fashioned  novel 
in  which  characters  play  their  part  with  a 
simplicity  w?  cannot  achieve.  I  began  to  wonder 
why  Herr  Strauss  hesitated  over  the  word  that  was 
to  make  him  the  happiest  man  till  Eugenie  told  me 

*By  Mrs.  Alfred  Sidgwick.  Collins,  Sons  &  Co. 
London. 


he  was  waiting  for  the  betrothal  ring.  It  would 
arrive  shortly  from  Reichenstadt,  and  at  the  same 
time  there  would  be  a  moon. 

"You  see,"  she  said,  "one  morning  he  will 
receive  a  sealed  packet,  and  after  supper  he  will 
Suggest  to  Emma  that  it  is  a  glorious  night." 

"  Supposing  it  rains,"  I  suggested. 

"  Then  he  will  find  sohie  other  plan,  Oscar  is 
highly  ingenious  and  original." 

"  Did  he  sing  "  Du  bist  wie  eine  Blume  "  to 
Emma  ? 

"  He  did  at  our  house,  about  six  weeks  ago,  it 
was  highly  exciting." 

Karen's  own  wedding  took  place  in  England, 
and  she  returned  with  her  husband  to  life  in  a 
German  noble  family,  where  we  are  glad  to  say  she 
held  her  own. 

The  Grafin  was  large,  fair  and  dignified.  The 
Graf  stared  at  my  maid  and  said  in  a  tone  of 
surprise  : 

"  Who  is  this,  then  ?  " 

"  Its  only  Wil kins,  my  maid." 

Wilkins  was  devoted  to  me  and  an  excellent 
maid,  but  she  had  her  tiresome  side,  and  when  I 
told  her  to  say  "  Ja,"  as  if  she  meant  "  Yes,"  had 
bridled  in  an  irritating  way  and  pointed  out 
that  she  had  been  taught  to  consider  "  Yah  " 
a  vulgar  expression  only  used  by  the  lower  classes. 

"  Of  course,  you  mustn't  put  your  tongue  out 
and  say  it  in  a  defiant  tone,"  I  explained.  "  You 
must  say  '  Ja,'  gently  and  firmly  when  you  want 
a  thing.  When  you  don't  want  it  you  say 
'  Nein.'  " 

"  Nein,"  echoed  Wilkins,  "  what  a  peculiar 
language.     Why  not  ten  ?  " 

I  told  her  she  must  expect  that  everything 
would  be  a  little  different,  but  she  had  only 
replied  that  she  supposed  German  gentry  were  like 
gentry  everywhere  else  and  knew  what  was 
expected.' 

Wilkins  was  whole-hearted  in  her  dislike  of 
everything  German,  in  which  matter  she  showed 
her  power  of  perception,  even  in  those  pre-war 
days. 

"  I  had  to  speak  to  the  Grafin  and  explain  to 
her  that  Wilkins  was  used  to  tea  and  bread  and 
butter  at  half-past  seven,  porridge,  tea,  bacon  and 
marmalade  at  nine,  and  a  solid  early  'dinner  at 
one,  and  that  she  would  feel  faint  if  she  were 
supplied  with  less  than  this. 

"  Then  let  her  feel  faint,"  said  the  Grafin  "  such 
demands  I  will  not  satisfy." 

So  I  had  to  wrap  up  this  ultimatum  in  different 
language  and  deliver  it  to  Wilkins  as  best  I  might.' 

Once  more,  we  have  brought  into  prominence 
the  cruelty  of  the  educationeJ  methods  applied  to 
German  boys  as  exemplified  in  little  Max.  The 
book  ends  with  the  death  of  Wolfram  and  the 
escape  of  Karen  and  Wilkins  from  the  German 
frontier  at  the  outbreak  of  the  war.  Wolfram 
it  must  be  admitted,  had  some  good  points  ;  but 
we  are  glad  that  the  concluding  pages  leave  Karen 
happily  married  to  a  True  Blue. 

H.  H. 


August   lo,    1918 


(Tbe  British  3ournal  of  IRursina. 


?o3 


LETTERS  TO  THE  EDITOR. 

Whilst  cordially  inviting  communications  upon 
all  subjects  Jot  these  columns,  we  wish  it  to  h$ 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

RECONSTRUCTION  IN  THE  NURSINQ 
PROFESSION. 

To  the  Editor  o/The  British  Journal  of  Nursing. 

Madam, — So  much  interest  is  being  shown  in 
the  problems  connected  with  the  re-building  of 
the  nation  that  I  feel  this  is  not  an  inappropriate 
moment  to  draw  the  attention  of  your  readers 
to  an  important  movement  in  the  organisation 
of  the  nursing  profession,  which  has  been  develop- 
ing for  a  number  of  years.  The  essence  of  the 
movement  makes  it  unostentatious  and  un- 
clamorous  for  assistance,  but  that  very  fact 
will  enlist  the  sympathy  of  those  who  believe  in 
sound  organisation  and  self-respecting  effort. 

I  need  say  nothing  in  these  days  about  the 
immense  importance  to  the  community  of  the 
nursing  profession,  and  I  merely  allude  to  it  in 
order  to  show  that  this  being  so,  it  is  also  a  matter 
of  real  interest  to  the  public  that  nurses  should  be 
organised  on  right  lines.  As  stated  in  a  recent 
publication  :  "  All  the  proposals  which  are  con- 
nected with  the  re- organisation  of  public  health 
must,  for  their  efficient  treatment,  depend  greatly 
upon  the  work  of  nurses." 

An  upward  turning  point  comes  in  the  history 
of  a  profession  when  its  members  realize  that 
the  responsibility  for  its  development  rests  on 
"their  shoulders.  Those  who  have  studied  the 
histoiy  of  the  medical  profession  know  what  a 
great  influence  for  good  was  brought  to  bear 
when  the  rank  and  file  of  medical  men  banded 
themselves  together  into  the  British  Medical 
Association.  The  keynote  of  such  an  organisation 
is  that  the  responsibility  for  a  profession  shall  be 
shouldered  by  the  profession  itself.  Self-respect, 
self-government,  self-development,  self-support. 
The  National  Union  of  Trained  Nurses  has  had 
for  a  number  of  years  a  system  of  Branch  organisa- 
tion, providing  for  post-graduate  lectures,  oppor- 
tunities for  discussion  and  practical  demonstra- 
tion. It  assists  its  members  with  free  legal  and 
professional  advice.  It  upholds  the  interests 
of  nurses  in  Parliament  and  on  public  bodies. 
It  runs  an  employment  bureau  for  nurses  which 
has  proved  to  be  of  great  value.  Many  nurses — 
members  and  non-members — ^have  expressed  their 
appreciation  of  the  friendly  welcome  and  expert 
advice  they  receive  at  the  Central  Office,  46, 
Marsham  Street,  "Westminster. 

The  Society  has  a  very  carefully  thought  out 
democratic  constitution  and  is  managed  entirely 
by  members  of  the  profession  on  the  system  of 
local  representation  on  a  central  body.  It  is  run 
on  practical  business  lines  for  the  benefit  of  nurses, 
but  it  has  from  the  beginning  always  borne  the 
good  of  the  country  in  mind,  thus  avoiding  cne 


of  the  great  pitfalls  of   similar  organisations — a 
narrow  professionalism. 

The  National  Union  of  Trained  Nurses  is 
affiliated  to  the  Royal  British  Nurses'  Association, 
which  is  the  only  society  of  women  possessing  a 
Royal  Charter,  with  the  powers  that  result 
therefrom. 

The  members  of  the  public  who  understand 
the  importance  of  professional  development  will 
be  glad  to  realize  the  existence  of  so  soundly 
organised  a  society  for  nurses  and  will  doubtless 
give  it  their  support,  and  nurses  should  join  in 
large  numbers  to  give  it  the  strength  necessary  to 
carry  out  its  reason  for  existence.  The  body 
which  will  administer  the  affairs  connected  with 
State  Registration  must  be  one  representing  all 
nursing  interests,  and  a  bill  safeguarding  this  has 
for  years  been  before  Parliament,  but  it  is  of  the 
utmost  importance  that  there  should  be  a  strong 
society  such  as  the  National  Union  of  Trained 
Nurses — representing  trained  professional  opinion 
— in  existence,  both  whilst  the  bill  is  being  con- 
sidered and  after  the  Act  comes  into  force,  in  order 
that  the  beneficent  effect  of  a  wide  range  of  free 
opinion  may  be  brought  to  bear  op  all  matters 
affecting  the  profession. 

All  information  can  be  procured  from  the 
Secretary,  46,  Marsham  Street,  Westminster, 
S.W.  I.  Yours  faithfully, 

E.  L.  C.  Eden. 

A    VEXATIOUS    ARRANGEMENT. 

To  the  Editor  of  HviiE  British  Journal  of  Nursing. 
Dear  Madam, — In  answer  to  your  correspondent 
re  R.N.P.F.  annuitants,  I  should  like  to  state  the 
annuitant  has  no  need  to  send  either  doctor's  or 
clergyman's  certificate  in  acknowledgement  ot  her 
quarterly  allowance.  It  is  sufficient  for  her 
receipt  paper  to  be  signed  by  someone  who  knows 
her  personally,  and  who  will  also  witness  her  sig- 
nature, which  implies  that  she  is  alive.  Therefore 
there  is  no  need  for  publicity  in  respect  to  her 
private  aftairs.  Neither  is  Income  Tax  deducted 
from  her  annuity.  The  amount  of  her  annuity 
must  be  recorded  in  the  ordinajy  way  if  she  is 
lia.ble  to  Income  Tax  duty.  A  special  certificate 
was  sent  out  last  Maixh  to  be  signed  by  others 
than  friends,  but  that  is  the  only  occasion  I 
know  of. 

One  of  the  Second  Thousand. 


OUR     PRIZE     COMPETITION. 

QUESTIONS. 

August  lyth. — What  is  pernicious  anaenva  ? 
How  have  you  seen  it  treated  ? 

August  24 /A. — ^What  points  would  you  observe 
in  paying  an  ante-natal  visit  to  an  expectd.nt 
mother  ?  What  would  you  impress  upon  the 
patient  ? 

OUR    ADVERTISERS. 

Do  not  omit  to  buy,  as  far  as  possible,  every- 
thing you  need  from  "  Our  Advertisers,"  and  to 
recommend  them  to  your  iriends.  They  are  all 
first-cJass  firms. 


'o^        Zbc  :3Brltt0b  3ournal  of  "Kureinc  Supplement,   "^"sust  lo,  1918 


The   Midwife. 


CENTRAL  MIDWIVES'  BOARD  (ENGLAND) 

EXAMINATION     PAPER. 

The  following  are  the  questions  set  at  the 
examination  of  the  Central  Midwives  Board 
(England)  at  the  London  and  Provincial  Centres  on 
August  1st : — - 

1.  Describe  the  relative  positions  of  the  cont€  nts 
of  the  female  pelvis,  illustrating  your  answer  with  a 
diagram. 

2.  What  investigation  would  you  n:i,ake  of  a 
patient  at  the  seventh  month  who  engages  you  to 
attend  her  in  her  confinement  ?  Under  what 
circumstances  would  you  advise  the  patient  to  see 
a   doctor  ? 

•3.  What  is  meant  by  presentation  and  prolapse  of 
the  cord  ?     How  would  you  treat  these  conditions  ? 

4.  What  are  the  causes  of  subinvolution  of  the 
uterus,  and  what  symptoms  accompany  it  ? 

6.  What  is  the  best  method  of  feeding  an  infant, 
and  why  ?  Describe  the  care  of  the  breasts  of  the 
nursing  mother. 

5.  What  is  the  importance  of  irregular  bleeding 
from  the  vagina  in  a  woman  aged  fifty  ? 

I    m   ■ 

CENTRALMIDWIVES' BOARD  (SCOTLAND) 

T'he  Examination  of  the  Central  Midwives' Board 
for  Scotland,  held  on  July  29th  last,  simultaneously 
in  Edinburgh,  Glasgow  and  Dundee,  has  concluded 
with  the  foil  owing  results  : — 

LIST  OF  SUCCESSFUL  CANDIDATES. 

'  Edinburgh. 

Miss  Elizabeth  Baxter,  Mrs.  Henrietta  G. 
Deller,  Miss  Helen  O.  Driver,  Miss  Margaret  J. 
Elliot,  Mrs.  Jemima  M.  Ferguson,  Miss  Barbara 
Galloway,  Miss  Helen  Grant,  Miss  Esther  J.  Hewes, 
Miss  Margaret  C.  McCIuskie,  Miss  Mary  Missett,' 
Miss  Jeanie  M.  Motson,  Mrs.  Annie  F.  Tait,  Miss 
Isabella  N.  Wanless,  Mrs.  Ellen  G.  Watson,  Miss 
Jemima  Young. 

Glasgow. 

Mrs.  Mary  A.  Ablett,  Miss  Alexandrina  Ander- 
son, Mrs.  Elizabeth  Foster,  Miss  Annie  Eraser, 
Miss  Bridget  Gavin,  Miss  Mary  L.  W.  Hall,  Miss 
Annie  Hardie,  Miss  Elizabeith  F.  Horn,  Miss  Helen 
L.  Hosie,  Miss  Elizabeth  Kay,  Miss  Jessie  Kelso, 
Miss  Mary  King,  Miss  Isabel  W.  McCIymotit,  Miss 
Catherine  McGillivray,  Miss  Catherine  M.  Mclnnes, 
Mrs.  Jeanie  McLellan,  Miss  Catherine  McMillan, 
Miss  Mary  Munn,  Miss  Lizzie  G.  Polwart,  Mrs. 
Beatrice  A.  Reid,  Miss  Margaret  B.  Summers,  Miss 
Susan  Turner,  Mrs.  Jessie  Wi'liamson. 

DUNUEE. 

Miss  Davina  B.  Anderson,  Miss  Magdalena  M. 
Baxter,  Miss  Barbara  W.  Craigen,  Miss  Janet  M. 
Drummond,  Miss  Margaret  M.  Dunn,  Miss  Emily  I. 
Gilbert,  Miss  IsabeUa  Gordon,  Miss  Charlotle 
McGregor,  Miss  Annabella  Mackay,  Miss  Isabella 
McKenzie, 


EXAMINATION     PAPER. 

The  following  are  the  questions  set  at  the 
examination  of  the  Central  Midwives  Board  for 
Scotland  on  July  29th  : — 

1.  Define  the  third  stage  of  labour.  Give  its 
management  when  normal  and  mention  the  com- 
plications which  may  occur. 

2.  What  medical  conditions  must  the  midwife 
inquire  into  on  the  occasion  of  her  first  visit  after 
labour  {a)  as  regards  the  mother,  and  (6)  as  regards 
the  new-born  infant  ? 

3.  If  a  patient  has  bleeding  from  the  uterus 
about  the  seventh  month  of  pregnancy,  what  may 
it  be  due  to,  and  what  arc  the  risks  to  her  and  to 
the  foetus  ? 

4.  What  do  you  understand  by  prolapse  of  the 
umbilical  cord  ?  How  would  you  manage  such  a 
case  until  the  doctor  arrived  ? 

5.  In  a  private  house  what  methods  would  you 
use  and  how  would  you  proceed  to  sterilise  and 
disinfect  the  following  : — Your  hands,  surgical 
instruments,  and  the  patient  ? 

6.  State  the  cases  in  which  a  midwife  must  seuu 
notification  as  soon  as  possible  to  the  Local  Super- 
vising Authority  according  to  the  Rules  of  the 
Central  Midwives  Board. 

FIRST  VACANCY  IN  THE  SCOTTISH   BOARD. 

We  regret  to  announce  that  Sir  Robert  Kirk 
Inches,  who  had  been  present  and  taken  an  active 
interest  in  the  meetings  of  the  Board  on  the 
'Jhursday  afternoon,  died  suddenly  on  Friday 
morning.  Sir  Robert  Inches  was  elected  by  the 
Convention  of  Royal  Burghs  of  Scotland  as  its 
representative  on  the  Board,  when  it  was  consti- 
tuted on  February  i8th,  1916.  He  was  appointed 
Convener  of  the  Finance  Committee,  an  office 
which  he  discharged  with  much  acceptance.  His 
shrewdness  and  business  ability  were  highly  ap- 
preciated by  the  Board,  and  his  relations  with  his 
colleagues  were  at  all  times  of  the  kindliest  and 
most  genial  character. 

THE    PSYCHOLOGY  OF    MOTHERHOOD. 

An  exceedingly  interesting  meeting  of  the 
Workers  Section  of  the  A.I.W.M.C.  was  recently 
held  at  the  National  Institute  of  Public  Health 
(by  kind  permission  of  the  secretary). 

The  speaker  was  Dr.  Jessie  Murray,  and  she 
came  to  talk  about  the  "  I'sychology  of  Mother- 
hood," a  subject  that  is  of  great  interest  to  those 
who  are  working  amongst  mothers.  Dr.  Murray 
gave  an  interesting  account  of  the  development 
of  the  human  organism,  and  then  went  on  to  an 
absorbing  analysis  of  the  present-day  mother.  The 
discussion  afterwards  was  keen,  and  in  answer  to 
questions  that  followed,  sonic  further  points  were 
elucidated.  The  thanks  of  the  meeting  to  the 
lecturer  were  proposed  by  Miss  Atherton  and 
seconded  by  Miss  E  .ot. 


THE 

WITH  WHICH  IS  INCORPORATED 

rME  MMHSIIKl  ll^€01 

EDITED  BY  MRS  BEDFORD  FENWICK 


No.  1,585. 


SATURDAY,   AUGUST    17,    1918. 


Vol.    LXI. 


EDITORIAL. 


THE  SOUL  OF  NURSING. 

We  can  hardly  touch  upon  any  question 
of  social  reform  which  does  not  affect  the 
work  and  the  interests  of  intelligent,  edu- 
cated nurses,  for  the  term  "  trained  nursing  " 
has  an  ever-widening  meaning  and  scope, 
and  its  aims  are  preventive  as  well  as 
curative. 

Nurses  of  the  present  day  have  a  much 
greater  knowledge  of  the  evil  in  the  world 
than  those  of  the  past,  That  bare  fact 
shows  very  significant  and  important  pro- 
gress ;  because,  with  wider  knowledge  of 
existing  evil,  comes  the  stronger,  more 
passionate  aspiration  to  abolish  it,  and  to 
make  our  beloved  country  cleaner,  and  there- 
fore healthier  and  happier.  We  are  well 
aware,  for  instance,  of  the  widespread 
evil  caused  by  the  preventable  infection  of 
venereal  disease.  We  are  up  against  that 
accusing  fact,  also  that  in  spite  of  the 
numerous  public  health  agencies,  that  are 
doing  such  excellent  work,  these  prevent- 
able things  are  not  prevented.  Neverthe- 
less, there  is  another  side  to  the  melancholy 
picture,  which  fills  us  with  encouragement 
and  hope.  Endued  with  power  that  comes 
of  knowledge  and  adequate  training,  nurses 
are  beginning  to  realize  themselves.  When 
all  stultifying  limits  and  barriers  to  progress 
are  removed,  and  the  full  powers  of  nurses 
(more  especially  social  service  nurses)  are 
liberated,  the  opportunities  of  our  profession 
will  be  boundless. 

There  is  a  beautiful  expression  in  a  well- 
known  hymn; — '*fire  of  love."  It  is  just 
this  fire  of  love — love  for  our  fellow-crea- 
tures which  is  the  highest  form  of  love, 
which  impels  enlightened  men  and  women, 
whose  consciences  are  aroused  to  a  sense 
of  their  corporate  responsibilities  as  their 
weaker  brothers'  and  sisters'  "  keepers,"  to 
desire  more  power  to  do  'more  and  more 


good  in  the  world,  which  is  "  white  already 
to  harvest."  The  one  supreme  hindrance 
to  progress  which  has  for  so  many  years 
strangled  endeavour,  and  stultified  effort, 
has  now  been  removed.  Women  are  now 
enfranchised  citizens.  All  conscientious 
nurses  endued  with  the  "fire  of  love  "  and 
having  the  necessary  qualifications  will 
realize  that  they  dare  not  repudiate  their 
responsibilities  in  this  matter.  They  are 
fully  aware  also  of  the  high  privilege  of 
having  a  voice- — through  their  representa- 
tives— in  the  Councils  of  the  Nation. 

Questions  of  public  health  are  now  being 
recognized  as  \itally  important  to  the 
future  welfare  of  our  great  Empire,  and  tlje 
next  Parliament — the  first  that  will  be 
elected  by  the  people  (women  as  well  as 
men)  will  have  to  deal  with  them,  and  none 
will  be  more  competent  than  well-trained, 
educated  nurses. 

Hitherto  the  emphasis  upon  the  work  and 
usefulness  of  nurses  has  been  placed  too 
much  upon  the  heart,  and  too  little  upon 
the  head.  We  do  not  mean  for  a  moment 
to  minimize  the  importance  of  the  former, 
the  highest  qualities  of  the  heart  are  needed, 
but  an  understanding  heart  is  what  is  most 
required.  A  woman  who  is  all  heart  and 
has  no  head  will  make  as  bad  a  nurse  as 
the  one  who  is  unbalanced  in  the  other 
direction.  The  soul  of  nursing  consists  of 
wisdom,  understanding,  counsel,  strength 
and  knowledge,  combined  in  a  well-balanced 
whole. 

Thus  equipped,  and  with  the  opportunities 
and  powers  referred  to  above,  we  believe 
that  trained  nurses  will,  in  the  near  future, 
take  a  large  share  in  the  reforms  and 
destinies  of  their  country.  The  way  will 
not  be  easy,  the  path  will  not  be  smooth. 
There  will  be  vested  interests  and  other 
antagonisms  to  combat,  but — 
"  I  hold  that  it  becomes  no  man  to  nurse  despair. 

But  in  the  teeth  of  clench'd  antagonisms 

To  follow  up  the  worthiest  till  he  die." 


io8 


^be  Britteb  Journal  of  *Rur0tnQ. 


August  17,   1918 


OUR    PRIZE    COMPETITION. 

WHAT    IS    PERNICIOUS    AN/EMIA?    HOW    HAVE   YOU 
SEEN    IT    TREATED? 

We  have  pleasure  in  awarding  the  prize  this 
week  to  Miss  Alice  M.  Burns,  East  Suffolk  and 
Ipswich  Hospital,  Ipswich. 

PRIZE     PAPER. 

Pernicious  anaemia  is  a  somewhat  obscure 
disease  of  the  blood.  It  resembles  simple 
anaemia  in  that  it  produces  the  symptoms  of 
unhealthy  pallor,  breathlessness,  languor, 
debility,  and  constipation,  and  differs  from  it 
in  that  it  is  associated  with  a  diminution  and 
also  enucleation  of  the  red  blood  corpuscles 
which  would  seem  to  destroy  their  capacity  for 
holding  iron  and  attracting  oxygen,  for  iron, 
so  valuable  in  the  treatment  of  simple  anaemia, 
is  of  no  avail  in  these  cases. 

The  disease  is  a  very  insidious  one,  and  said 
to  be  invariably  fatal,  though  periods  of 
improvement  may  be  looked  for. 

How  I  have  seen  it  treated: — (i)  Drugs, 
(2)  bone  marrow,  (3)  rest,  (4)  good  food, 
(5)  fresh  air. 

,(i)  We  give  first  place  to  drugs,  and  one 
drug — arsenic — because  they  would  seem  to 
arrest  the  destruction  of  the  blood  elements. 
It*may  be  given  as  a  simple  mixture,  but  is  now 
usually  given  by  either  intravenous  or  intra- 
muscular injection  in  the  form  of  Salvarsan  or 
its  English  substitute  Galyl  (20  to  40  c.c.gs.). 

(2)  Bone  marrow  is  looked  upon  as  a  source 
of  supply  of  new  red  blood  corpuscles,  and  is 
often  given  in  sandwiches. 

(3)  Rest  is  esssential,  in  the  later  stages  in 
bed.  The  heart  is  always  overtaxed  in  these 
cases,  and  may  give  out  under  strain. 

(4)  Good  food  of  an  easily  digested  char- 
acter should  be  abundant,  and  the  patient's 
appetite  fostered,  although  unfortunately  in 
the  nature  of  the  disease  he  cannot  take 
advantage  of  all  he  eats. 

One  investigator  has  discovered  that  the 
blood  destruction  is  greatly  diminished  by  the 
use  of  a  farinaceous  diet  and  increased  by 
nitrogenous  foods. 

(5)  I  have  placed  fresh  air  last  because, 
since  the  blood  is  deficient  in  haemoglobin  and 
iron,  the  patient  can  only  derive  a  minimum 
of  benefit  from  oxygen,  yet  it  goes  witout  say- 
ing that  he  should  be  placed  in  a  position  to 

-obtain  that  minimum  without  loss  of  time. 

These  patients  come  to  suffer  great  exhaus- 
tion and  emaciation,  and  require  unwearying 
care  in  the  keeping  of  the  bed  clean  and  the 
skin  whole,  and  the  relieving  of  painful 
symptoms  which  are  the  outcome  of  their 
enfeebled  conditions. 


HONOURABLE   MENTION. 

The  following  competitors  receive  honour- 
able mention  : — Miss  Ethel  E.  Hall,  Miss  E.  F. 
Thompson,  Miss  M.  Robinson,  Miss  B.  James, 
Miss  A.  M.  M.  Cullen.    Miss  Ethel  Hall  writes  : 

It  is  probable  that  a  group  of  diseases  are 
collected  together  and  called  pernicious  anaemia 
because  the  blood  changes  are  similar  in  all 
of  them.  The  usual  type  is  generally  fatal, 
and  may  occur  both  in  men  and  women  after 
the  age  at  which  chlorosis  is  common ;  and  its 
chief  characteristic  is  failure  to  improve  under 
iron,  which  often  proves  of  benefit  in  ordinary 
anaemia.  The  cause  o<"  it  is  not  yet  known,  but 
it  follows  many  conditions  in  which  the  system 
is  depressed  either  physically  or  mentally. 

The  disease  is  a  very  insidious  one,  the 
patient  gradually  becoming  weak  and  blood- 
less, and  the  colour  of  the  skin  is  yellowish, 
the  mucous  membranes  are  also  pale,  there 
is  marked  shortness  of  breath  on  exertion,  due 
to  the  fact  that  there  is  but  little  haemoglobin 
to  carry  oxygen  to  the  tissues,  the  blood  thus 
requiring  much  more  aeration  in  the  lungs  than 
usual.  There  is  often  severe  and  distressing 
palpitation  of  the  heart,  and  the  sufferer  is 
feeble,  languid,  and  incapable  of  physical  or 
mental  exertion  of  any  kind.  Constipation  is 
often  a  marked  feature,  also  pain  after  food, 
with  constant  attacks  of  diarrhoea  and  vomit- 
ing, or  both,  but  there  is  no  marked  wasting. 
There  is  often  fever,  the  urine  is  dark  in  colour, 
and  there  may  be  tenderness  of  the  bones. 
Changes  also  occur  in  the  retina,  and  death 
usually  ensues  from  exhaustion.  Another 
special  feature  is  the  iiability  to  haemorrhages. 

QUESTION    FOR   NEXT    WEEK. 

What  point  would  you  observe  in  paying  an 
ante-natal  visit  to  an  exi>ectant  mother?  What 
would  you  impress  upon  the  patient? 


RECTAL  FEEDING. 

An  article  on  this  subject  in  the  Journal  of 
the  American  Medical  Association  says  that  as 
there  is  no  proof  that  the  colon  possesses 
adequate  digestive  capacity,  all  food  introduced 
by  way  of  the  rectum  should  be  completely  pre- 
digested.  Flesh  and  eggs  are  undesirable 
because  of  their  tendency  to  putrefy.  Milk  is 
comparatively  free  from  this  disadvantage,  and 
appears  to  be  the  ideal  source  of  protein  for  a 
nutritive  enema.  It  should  be  fresh  and  un- 
boiled, thoroughly  p>eptonized  and  pancrea- 
tized.  It  should  be  skimmed,  as  fat  introduced 
into  the  colon  is  useless  and  may  be  harmful. 
Glucose  in  solution  supplies  carbohydrate  in  an 
available  form.  Strained  fruit  juice  may  supply 
desirable  salts  to  a  limited  extent.. 


August  17,   1918    • 


^be  Brtti0b  3ournal  of  IRuraina* 


109 


NURSING    AND    THE    WAR. 


RECOGNITION   OF  HOME   HOSPITAL   WORK. 

The  names  of  a  very  large  number  of  ladies 
have  been  brought  to  the  notice  of  the  Secretary 
of  State  for  War  for  valuable  nursing  services 
rendered  in  connection  with  the  war.  The  lists 
are  issued  from  the  War  Office  under  dates  August 
loth  and  1 2th. 

AFRICAN    CAMPAIGN. 

Gen.  Deventer's  List  of  Mentions. 
East  Africa. 
The  names  of  the  following  have  been  brought 
to  the  notice  of  the  Secretary  of  State  for  War 
by  Lieutenant- General  Sir  J.  L.  van  Deventer, 
K.C.B.,  Commanding-in-Chief,  British  Forces, 
East  Africa,  for  distinguished  services  during  the 
operations  from  May  30th  to  December,  1917, 
described  in  his  dispatch  of  January  21st,  191 8  : — 

NURSING    SERVICES. 

Imperial  Section. 
CoRMACK,  Miss  J.,  Sister,  N.Z.A.N.S.  ;  Roberts,  Miss 
F.  N.,  Sister  (A./Matron),  R.R.C.,  Q.A.I. M.N. S. 
Thornborrow,  Miss  M.  A.,  Staff  Nurse,  T.F.N. S. 
Townley,  Miss  E.  J.,  Staff  Nurse,  Q.A.I. M.N.S.R. 
Watson,  Miss  E.  N.,  Staff  Nurse,  Q.A.I. M.N.S.R. 
Wreford,  Miss  K.  E.,  Staff  Nurse,  T.F.N. S. 

South  African  Section. 
FitzHenry,   Miss   D.,   Sister,   S.A.M.N.S.  ;   Lambert, 
Miss  J.,  Sister,  S.A.M.N.S. 

East  African  Section. 
Brown,  Mrs.   N.  M.,  Hon.  Nurse,  E.A.N.S.  ;  Dray- 
ton,  Miss  L.   A.,  Nursing  Sister,   E.A.N.S.  ;  Sheldon, 
Miss  A.,  Nursing  Sister,  E.A.N.S. 

Norforce. 
Spendler,  Miss  F. ,  Sister,  Nyasaland  Fd.  Force  Med. 
Serv.  ;  Wilson,  Miss  R.  L.,  Sister,  Northern  Rhodesia 
Med.  Serv. 

Italian  Mission. 
Gundene,  Nursing  Sister. 

THE    V.A.D. 

The  Surrey  Branch,  British  Red  Cross  Society, 
have  passed  the  following  resolution  : — 

"  That  in  view  of  the  lajge  number  of  other 
services  now  open  to  women,  it  is  essential  for 
maintaining  the  personnel  of  Voluntary  Aid 
Detachments  that  service  in  such  detachments 
should  be  placed  on  a  more  satisfactory  basis. 
That,  as  a  step  in  this  direction,  the  opinion  of 
this  branch  is  that  approved  whole-time  service 
in  auxiliary  hospitals,  for  a  specified  period,  should 
be  reckoned  to  excuse  some  portion  of  the  training 
of  such  members  as  professional  nurses  in  general 
civil  hospitals." 

Lord  Ashcombe,  Chairman  of  the  Surrey 
County  Committee,  writing  from  Denbies,  Dorking, 
says  in  the  Times  that  concessions  of  this  kind 
have  already  been  made  by  at  least  four  of  the 
great  hospitals  of  this  category  in  London,  but, 
the  Committee  feel  that  the  principle  should  be 


universally  adopted  by  civil  hospitals  in  Great 
Britain  and  Ireland.  They  know  that  views  of  a 
like  nature  are  largely  shared  by  other  county 
branches  and  persons  connected  therewith,  but 
that  there  are  difficulties  in  the  way  of  their 
expression.  They  are  prepared  to  take  the  lead 
in  a  movement  to  forward  this  purpose  if  sufficient 
Support  is  forthcoming,  and  ask,  therefore  that 
those  in  sympathy  with  them  in  this  respect  will 
communicate  with  the  Secretary,  Surrey  Branch, 
British  Red  Cross  Society,  13,  Charterhouse 
Street,   E.C.  1. 

We  have  always  foreseen  that  the  claim  would 
be  made  that  war  service  should  rank  as  sytematic 
training  in  nursing,  but  it  has  not  been  organised 
as  such,  and  cannot,  therefore,  be  rightly  so 
regarded. 

THE    EDINBURGH     BRANCH    OF    THE 
BRITISH    RED    CROSS    SOCIETY. 

The  following  appointments  have  been  made  by 
the  Personnel  Committee  of  the  Edinbuigh  Branch 
of  the  British  Red  Cross  Society  during  the  past 
ha' f -year  : — Miss  Maiy  Gordon  Smith, Kippenross 
Hosp'.,  Dunblane;  Miss  McBain,  Edenfield  Hosp., 
Fife  ;  Mrs.  Allan,  Edinburgh  War  Hosp.,  Bangour ; 
Mrs.  Green,  Battery  Hosp.,  Dunbar ;  Miss  Macleod, 
Edinburgh  War  H:)sp.,  Bangour;  Miss  Gordon, 
St.  Leonard's  Aux.  Hosp.,  Edinburgh;  Miss  Stobo, 
Bowhill  Officers'  H:!sp.,  Selkirk;  Miss  Gray,  St. 
Leonard's  Hosp.,  Edinburgh ;  Miss  Farquhar, 
D  mgallon  Hosp.,  Oban  ;  Miss  Mitchell, Edinburgh 
War  Hosp.,  Bangour;  Mrs.  King,  Mayfield  Aux. 
Hosp.,  Edinburgh ;  Miss  Jennings,  Hopeton 
H  mse H  ^sp. ,  South  Queemferry  ;  Miss  E.  Forsyth, 
Marchhall  H  )sp.,  Edinburgh  ;  Miss  McBain,  Leven 
H^sp.,  Fife;  Miss  F.  Cameron,  Tillyiie  Hosp., 
Milnathort ;  Miss  Methven,  Coldingham,  Berwick- 
shire ;  Mrs.  Macdonald,  Ceres  Aux.  Hosp.,  Fife ; 
Miss  D  )ig,  Castle  Milk  H  )sp.,  D  amfries ;  Miss  A.  B  . 
Watscn,  Ranfurly  H:)sp.,  Bridge  of  Weir;  Miss 
Tnomson,  Ranfurly  Hosp.,  Bridge  of  Weir  ;  Miss 
Lorimer,  Bowhill  Hosp.,  Selkirk  ;  Miss  E. 
Chowler,  Polkemmet  Hosp.,  Whitburn ;  Miss 
Cowan,  Tayside  Aux.  Hosp.  ;  Miss  Hastie,  May- 
field  Aux.  Hosp.,  Edinburgh;  Miss  Torrens, 
Wemvss  Castle  Hosp.,  Fife ;  Miss  Tcrriss,  Eden- 
field H  Jsp.,  Fife  ;  Miss  Field,  D  'nblane  War  Hosp. ; 
Miss  Janet  D'ckson,  DjJmeny  House  Hosp.  ;  Miss 
Belcher,  The  Gables,  Gullane ;  Miss  Campbell, 
Whitehill  Aux.  Hos.,  Rosewrll ;  Miss  C.  M.  Grant, 
Dunblane  War  Hosp.  ;  Miss  Campbell,  Morelands, 
Peebles  ;  Miss  Gillon,  Wemyss  Castle  Hosp.,  Fife  ; 
Miss  F.  Urquhart,  Royal  Naval  Hosp.,  Peebles  ; 
Miss  Binnie,  Whitehill  Red  Cross  Hosp  ,  Rose- 
well  ;  Miss  Locke,  Lochiel  Hosp.,  Banavie,  Fort 
William;  Miss  Belcher,  Kippenross  H^sp.  Dun- 
blane ;  Miss  M.  Thomas,  Coldingham,  Berwick- 
shire ;  Miss  Wray,  Miss  Grant,  Miss  Field  and  Miss 
Pearce,  D  JUb'ane  War  Hosp.  ;  Miss  Maude  Martin 
Craiglockhart  War  Hosp.,  Slateford,  Edinburgh 
Miss  Macdonald,  Dunblane  War  Hosp.  ;  Miss 
Ruddock,  Marchhall  Aux.  Hosp.,  Edinburgh. 


JIO 


Cbe  British  3ournal  of  mursing. 


August  17,   1918 


THE    ROYAL    RED    CROSS/ 


The  King  has  been  pleased  to  award  the  Royal 
Red  Cross  to  the  undermentioned  ladies  in  recog- 
nition of  ^their  valuable  nursing  services  in  con- 
nection   with  the  war. 

Second  Class. 

NippARD,  Mrs.  E.,  Matron,  Alderney  Isolation  Hospl., 
Newtown,  Dorset;  Nutsey,  Miss  E.  M.,  Sister, 
N.Z.A.M.S.,  No.  2  N.Z.  Hospl.,  Walton-on-Thames. 

Oatman,  Miss  C.  M.,  Nursing  Sister,  Can.  Nursing 
Service,  No.  4.  Can.  Gen.  Hospl.,  Basingstoke,  Hants; 
O'DoNOGHUE,  Miss  A.,  Matron,  Kitebrook,  Moreton-in- 
Marsh  ;  O'Neill,  Miss  M.,  Matron,  Southgate  Aux.  War 
Hospl.,  Grovelands,  Southgate;  O'Neill,  Miss  M.  E., 
Matron,  Q.A.I. M.N.S.R.,  Mil.  Hospl.,  Woking,  Surrey; 
O'Sullivan,  Miss  J.,  Matron,  Quarry  Hill  V.A.D. 
Hospl.,  Tonbridge. 

Palmer,  Miss  H.  S.,  Sister,  Thorncombe  Mil.  Hospl., 
Bramley ;  Parker,  Mrs.  C.  E.,  Sister,  Gifford  House 
Aux.  Hospl.,  Roehampton,  London;  Parkins,  Miss 
"M.  F.,  Nursing  Sister,  Can.  Nursing  Service,  I.O.D.E., 
Can.  Red  Cross  Hospl.  for  Officers,  i,  Hyde  Park  Place, 
W.  i;  Paten,  Miss  E.  M.,  A./Matron,  Aust.  A.N.S,, 
2nd  Aust.  Aux.  Hospl.,  Southall,  Middlesex;  Paterson, 
.  Miss  H.  C,  Sister,  Q.A.I. M.N.S.R.,  Central  Mil. 
Hospl.,  Heme  Bay;  Williams,  Mrs.  J.  P.,  Commdt., 
Sandy  Hospl.,  Beds;  Peebles,  Miss  J.  M,,  Matron,  R. 
Infirmary,  Stirling;  Peel,  Miss  A.  M.,  Matron,  Gerstley- 
Hoare  Hospl.  for  Officers,  53,  Cadogan  Square,  London  ; 
Percy,  Lady  V.  A.,  Matron,  Mil.  Hospl.,  Alnwick; 
Perrin,  Miss  H.,  Sister,  Aust.  A.N.S. ,  No.  3  Aust.  Aux. 
Hospl.,  Dartford,  Kent;  Perry,  Miss  M.,  Sister, 
T.F.N. S.,  5th  Northern  Gen.  Hospl.,  Leicester;  Peter, 
Miss  M.,  Sister,  Brompton  Mil.  Hospl.,  East  Yorks ; 
Peter,  Miss  P.,  Matron,  Hdqrs.,  B.R.C.S.  ;  Pettigrew, 
Miss  E.,  Asst.  Matron,  Catterick  Mil.  Hospl.,  Yorks; 
Philip,  Miss  A.  T.,  Matron,  Forres  Aux.  Hospl.,  Moray- 
shire ;  Philp,  Miss  E.  K.,  Matron,  St.  Leonards  Stone- 
haven Red  Cross  Aux.  Hospl.,  Kincardineshire;  Picker- 
ing, Mrs.  A.  M.,  Commandant,  Arnold  Hospl.,  Don- 
caster,  Yorks;  Pinnock,  Mrs.  R.  H.,  Commandant, 
Warden  House  Hospl.,  Deal;  Pitts,  Miss  R.,  Nurse, 
Hart  House  Hospl.,  Burnham,  Somerset ;  Porter,  Miss 
E.  A.,  Matron.  Banbury  Red  Cross  Hospl.,  Banbury, 
Oxfordshire;  Price,  Miss  E.,  A./Matron,  Highfield  Mil. 
Hospl.,  Liverpool;  Prichard,  Miss  M.  A.,  Nursing 
Sister,  Can.  Nursing  Service,  No.  10  Can.  Gen.  Hospl., 
Brighton;  Prowse,  Miss  M.  T.,  Sister-in-Charge,  Bram- 
hall  and  Cheadle  Hulme  Aux.  Mil.  Hospl.,  near  Stock- 
port; PuGH,  Mrs.  E.  M.,  Sister,  Woolton  Aux.  Hospl., 
W.  Lanes  ;  Pumphrey,  Miss  L.,  Matron,  Queen's  Hospl., 
Birmingham;  Purcell,  Miss  L.  E.,  Nurse,  V.A.D. 
Hospl.,  Exmouth ;  Purdie,  Miss  N.  M.,  Matron, 
Brabyns  Hall,  Marples  Bridge,  Cheshire. 

Quigley,  Miss  M.  E. ,  Nursing  Sister,  Can.  Nursing 
Service,  Granville  Can.  Spec.  Hospl.,  Buxton;  Quinn, 
Miss  A.,  Sistcr-in-Charge,  Spencer  Street  Aux.  Hospl., 
Keighley,  Yorks. 

Radcliffe,  Miss  G.  S.,  Nursing  Sister,  Can.  Nursing 
Service,  No.  16  Can.  Gen.  Hospl.,  Orpington,  Kent; 
Rainbow,  Miss  H.  K.,  Night  Sister.  Brook  War  Hospl., 
Woolwich;  Ramsbotham,  Mrs.  E.  M.,  Sister-in-Charge, 
Rcdburn  War  Hospl.,  Eastbourne;  Ramsden,  Miss  G., 
Nursing  Sister,  Can.  Nursing  Service,  No.  12  Can.  Gen. 
Hospl.,  Bramshott,  Hants;  Rigby-Murray,  Miss  E., 
Matron,  V.A.D.  Hospl.,  Hatton  Grange,  Shifnal,  Shrop- 
shire ;      Ridgevvell,      Miss      L.      M.,      Staff      Nurse, 


Q.A.I.M.N.S.R.,  King  George's  Hospl.,  Stamford 
Street,  London;  Roberts,  Mrs.  F.,  Matron,  Holmfirth 
.Aux.  Hospl.,  nr.  Huddersfield ;  Robertson,  Miss 
C.  C.  B.,  Sister,  Aux.  Mil.  Hospl.,  Moor  Park,  Preston  ; 
Roche,  Miss  F.,  Sister,  Q.A.I.M.N.S.R.,  Queen 
Alexandra's  Mil.  Hospl.,  Grosvenor,  S.W.  i  ;  Rogers, 
Miss  A.,  Sister,  Q.A.I. M.N.S.R.,  Pavilion  Gen.  Hospl., 
Brighton;  Romer,  Miss  H.  E.,  Asst.  Matron,  T.F.N. S., 
3rd  Sco.  Gen.  Hospl.,  Glasgow;  Rooke,  Miss  R.  M., 
Asst.  Matron,  Q.A.I. M.N. S.,  Mil.  Hospl.,  Park  Hall 
Camp,  Oswestry;  Rose,  Miss  E.,  Matron,  Wych  Red 
Cross  Hospl.,  Forest  Row,  Sussex;  Rose,  Mrs.  M.,  Asst. 
Matron,  T.F.N.S.,  ist  Scot.  Gen.  Hospl.,  Oldmill  Sec- 
tion, Aberdeen;  Rowlands,  Miss  B..  Commdt.,  St. 
Pierre's  Red  Cross  Hospl.,  Cardiff;  Russell,  Miss  A., 
Sister,  Q.A.I. M.N.S.R.,  Mil.  Hospl.,  Dover  ;.  Russell, 
Miss  E.,  Sister,  Q.A.I. M.N.S.R.,  Mil.  Hospl.,  Prees 
Heath,  Salop. 

Sadler,  Miss  M.  T.,  Sister,  Mil.  Hospl.,  Alnwick; 
Saunders,  Miss  M.  A.  G.,  Matron,  Plas  Tudno,  and  St. 
Tudno  Aux.  Hospl., Llandudno,  Carnarvon  ;  Scott,  Mrs. 
M.,  Sister,  Red  Cross  Hospital,  Christchurch,  Hants; 
Shield,  Mrs.  M.,  Matron,  20th  Durham  V.A.  Hosp., 
St.  Gabriel's,  Sunderland;  Short,  Miss  B.,  Nursing 
Sister,  Exeter  War  Hospl.,  No.  i  Section;  Siddells, 
Miss  F.,  Sister,  N.Z. A.N.S.,  No.  i  New  Zealand  Gen. 
Hospl.,  Brockenhurst,  Hants;  Sinclair,  Mrs.  J., 
Commdt.,  Red  Cross  Hospl. ,  Maesteg  ;  SLAYDEN.Mrs.  E., 
Sister,  County  Hospl.,  Lincoln  ;  Slocock,  Miss  R.,  Sister, 
Harnham  Red  Cross  Hospl.,  Salisbury;  Slocombe,  Miss 
J.,  Masseuse,  V.A.  Hospl.,  Totnes  ;  Smith,  Mrs.  E.  M., 
Theatre  Sister,  Myrtle  Aux.  Hospl.,  Liverpool;  Smith, 
Miss  G.  E.  S.,  Sister,  T.F.N. S.,  2nd  Sco.  Gen.  Hospl., 
Craigleith;  Smith,  Miss  L.  G.,  Sister,  Q.A.I. M.N.S.R., 
Mil.  Hospl.,  Fort  Pitt,  Chatham;  Smith,  Miss  M.  E., 
Matron,  Lady  Forester  Hospl.,  Much  Wenlock,  Shrops.  ; 
Smith,  Miss  M.  L.,  Matron,  Burntwood  Red  Cross 
Hospl.,  Surrey;  Smith,  Miss  M.  E.,  Matron,  Red  Cross 
Hospl.,  Leek,  Staffs;  Smith,  Miss  S.  E.,  Sister,  V.A.D. 
Hospl.,  Coalville,  Leics';  Smythe,  Miss  I.,  Sister, 
Q.A.I. M.N.S.R.,  Stoke-on-Trent  War  Hospl.,  New- 
castle, Staffs  ;  Spanner,  Miss  G.  L.,  Nursing  Sister,  Can. 
Nursing  Service,  No.  12  Can.  Gen.  Hospl.,  Bramshott, 
Hants;  Stein,  Mrs.  M.  McK.,  Asst.  Commdt.  and 
Sister-in-Charge,  Park  House  V.A.  Hospl.,  Shipston-on- 
Stour;  Stevens,  Miss  G.  A.  B.,  Matron,  Aux.  Mil. 
Hospl.,  Frodsham,  Ches.  ;  Stevenson,  Miss  L.  C, 
Nursing  Sister,  Can.  Nursing  Service,  No.  10  Can. 
Gen.  Hospl.,  Brighton;  Strike,  Miss  M.,  Sister, 
Q.A.I. M.N. S.R.,  Mil.  Hospl.,  Belton  Park,  Grantham; 
Sword,  Miss  J.  E.,  Nursing  Sister,  Can.  Nursing 
Service,  No.  12  Can.  Gen.  Hospl.,  Bramshott,  Hants. 


Miss  Kate  Maxey,  who  gained  the  Militr.ry 
Medal,  the  Red  Cross  Medal,  and  the  Mens  Ribbon, 
has  been  presented  with  a  silver  set  of  salts  and 
spoons,  inrecogrition  of  her  heroic  work  in  France, 
by  the  Spennymoor  Ambulance  Brigade  and 
Nursing  Division.  She  was  wounded  by  hostile 
aircraft  when  in  charge  of  a  hospital  in  France. 


The  Military  Medal  won  by  Sister  McGinnis  was 
awarded  her  for  conspicuous  bravery  and  devotion 
to  duty  during  attacks  by  Germans  on  a  St.  John 
Ambulance  Brigade  Hospital  from  May  19th  to 
June  1st.  Miss  McGirnis  was  on  the  staff  of  the 
City  of  DubUn  Nursing  Institution  before  joining 
the  Red  Cross  at  the  outbreak  of  war,  and  has 
served  over  three  years  in  France. 


August  17,   1918 


^be  British  3ournal  of  iRui'smg. 


Ill 


AMERICAN  RED  CROSS  NAVAL  HOSPITAL, 

ALDFORD  HOUSE,  PARK  LANE,  W. 


One  of  the  latest  American  Red  Cross  Hos- 
pitals in  this  country,  and  the  first  devoted  to 
the  needs  of  the  sick  and  wounded  of  its  Navy, 
is  Aldford  House,  erected  on  a  unique  site  in 
Park  Lane,  where  it  occupies  an  entire  block. 
It  has  been  placed  at  the  disposal  of  the 
American  Red  Cross  by  Mrs.  Frederick  Guest, 
wife  of  Captain  Guest,  M.P,,  and  accom- 
modates 50  patients — men  on  the  ground  floor, 
officers  above. 

The  nursing  staff,  who  are  members  of  the 


its  purpose ;  damask  panels  on  the  walls  have 
been  covered  up  by  calico  stretched  over  them, 
and  the  ceiling  in  the  operating  theatre  has 
been  subjected  to  the  same  treatment. 

One  ward  on  the  ground  floor  opens  on  to  a 
verandah,  where  chairs  can  be  placed,  over- 
looking Park  Lane.  Its  pretty  pink  quilts  and 
screens  give  it  a  very  attractive  appearance. 
In  the  opposite  ward  the  quilts  are  white,  and 
the  screen-covers  a  rosy  pink.  The  hospital 
has  a  garden  of  quite  considerable  size  for 
London — an  invaluable  asset,  especially  for 
sailors,  not  used  to  Jiving  within  four  walls. 
It  even  boasts  of  a  rabbit-hutch  and  rabbits. 

There   is  also   a   winter  garden,   where  the 


Miss  Powell,  R.N.  Mi'ss  Akroyd,  R.N.  Mrs.  Bucking- 

Miss  Lamb,  R  N.  Dr.  McGrath.  Miss  Taylor,  R.N.      Miss  Fifield,  R.N.  ham,  R.N. 

[Photo,  Bassano.]  (Matron.) 


NURSING    STAFF  OF  TMB    AMERICAN    RED   CROSS    NAVAL    HOSPITAL. 


American  Red  Cross,  a're  all  Registered 
Nurses,  and  proud  of  the  fact.  Most  of  them 
have  been  war  nursing  for  two  or  three  years, 
and  have  served  in  Mesopotamia,  'Gallipoli, 
East  Africa:,  and  France,  as  well  as  in  hospitals 
in  this  country.  The  Matron,  Miss  Catherine 
Taylor,  was  trained  at  St.  Luke's  Hospital, 
New  York,  by  Miss  Anna  W.  Goodrich,  for 
whose  personality  and  work  she  has  unbounded 
admiration.  The  V.A.D.s  undertake  pantry 
work  and  kindred  duties,  but  do  no  nursing. 

The  medical  officers  are  Dr.  L.  W.  McGrath 
and  Dr.  Agnew,  both  of  the  United  States 
Naval  Corps. 

The  house,  with  its  central  airy  hall,  and 
wide  shallow  staircase,  is  very  well  adapted  for 


patients  can  sit  when  the  weather  is  unsuitable 
for  life  in  the  open  air. 

On  a  level  with  the  floor  above  is  a  wide  roof 
'garden,  where  long  chairs  can  be  set,  and  from 
which  an  extensive  and  charming  view  is 
obtained. 

The  hospital,  which  for  the  first  years  of  the 
war  was  used  for  British  patients,  .has  only 
been  open  as  an  American  hospital  for  seven  or 
eight  weeks.  The  cases  admitted  are  at  present 
chiefly  medical,  accident,  and  operation  ones. 

Miss  Taylor  wears  the  dainty  white  uniform 
of  the  Chief  Nurses  of  the  American  Red  Cross, 
with  the  distinguishing  black  band  and  tiny 
red  cross  on  the  cap.  The  other  members  of 
the  staff  wear  grey. 


113 


JLbc  Britteb  3ournal  of  IRursing.  ^"^"^*  ^7,  1918 

CARE    OF    THE    WOUNDED.  SOCIAL  SERVICE. 


The  Queen,  accompanied  by  Princess  Mary, 
visited  the  Brook  War  Hospital  on  Wednesday 
in  last  week  and  spent  a  long  time  in  the  wards. 
Her  Majesty  was  received  by  the  President  of  the 
Local  Government  Board,  the  Chairman  and  the 
Vice-Chairman  and  Clerk  of  the  Metropolitan 
Asylums  Board.  Major  Swainston,  Acting  Senior 
Medical  Officer,  and  Miss  E.  M.  Baum,  the  Matron. 

Her  Majesty  has  also  visited  Queen  Mary's 
Hospital  at  Stratford,  the  Pavilion  General 
Military  Hospital  at  Brighton,  and  the  Hospital 
for  Sick  Children,  Great  Ormond  Street,  where 
she  saw  Princess  Mary  at  work  in  the  wards. 


In  a  Summary  of  Work  of  the  Joint  War 
Committee  of  the  British  Red  Cross  Society 
and  the  Order  of  St.  John  of  Jerusalem  in  England, 
the  Commissioner  of  the  Committee  in  France 
and  Belgium — Colonel  the  Hon.  Sir  Arthur 
Lawley,  K.C.M.G. — ^writes  of  Ambulance  Train, 
No.  16  :— 

No.  16. — ^The  following  extracts  referring  to 
this   train  will   be   of   interest : — 

"It  is  not  long  since  that  I  recommended  to 
your  notice  the  excellent  behaviour  of  this  unit 
on  the  night  of  the  26th-27th  March,  1918.  I  then 
particularly  drew  attention  to  the  gallantry 
and  courage  shown  and  efficient  work  done  by 
the   Sister-in-Charge   and   Q.M.-Sergt 

"  This  time  .  .  .  No.  16  Ambulance  Train 
arrived  at  ...  in  the  midst  of  an  air  raid. 
'  A  '  Coach  got  a  direct  hit  from  a  large  bomb, 
wrecking  it  and  setting  the  stores  on  fire — the 
details  of  the  damage  done  will  have  been  made 
known  to  you. 

"  The  Sisters  were  taken  out  of  the  cutting 
and  placed  under  a  hedge.  I  then  returned  to 
the  train,  where  Q.M.-Sergt.  had  already  engaged 
the  men  in  trying  to  extinguish  the  fire  ;  in  this 
he  was  ably  assisted  by  one  volunteer.  .  .  .  The 
burning  coach  was  disconnected  by  this  officer 
and  Q.M.-Sergt.  .  .  .  while  I  directed  the  engine- 
driver  what  to  do.  The  engine-driver  and  fireman 
had  remained  at  their  post — ^the  brakesman  had 
disappeared. 

"  It  must  be  remembered  that  this  was  carried 
out  while  the  raid  was  still  in  progress  and  'planes 
humming  overhead,  three  out  of  the  four  injured 
men    assisting    at   the    salvage. 

"  The  personnel  to  a  man  did  their  very  best." 


Colonel  Sir  E.  W.  D.  Ward,  Director-General  of 
Voluntary  Organisations,  asks  for  strong  walking 
sticks  foi*  the  use  of  wounded  soldiers,  for  which 
he  continues  to  receive  large  and  increasing 
demands.  It  is  necessary,  if  these  requests  are  to 
be  fully  and  punctually  met,  that  he  should  receive 
a  far  larger  number.  If  householders  will  made  a 
point  of  sending  one  good  strong  walking-stick  to 
the  Comforts  Dep6t,  45,  Horseferry  Road,  West- 
minster, S.W.  I,  the  required  number  will  be 
secured. 


The  American  Red  Cross  has  not  only  allocated 
;^5,ooo  to  the  National  League  for  Health,  Mater- 
nity, and  Child  Welfare,  4,  Tavistock  Square, 
London,  W.C.  i,  to  establish  and  maintain  infant 
welfare  institutions  for  a  year,  but  has  also  given 
it  ;£io,ooo  for  maternity  hostels.  It  is  hoped  to 
establish  one  in  each  of  the  three  kingdoms  and 
one  in  London,  in  addition  to  ante-natal  clinics 
and  factory  crSchesc"  in  various  parts  of  the  country. 
An  emergency  home  for  babies  and  two  day 
nurseries  for  children  of  the  professional  classes, 
whose  mothers  are  obliged  to  work  to  supplement 
their  Army  and  Navy  allowances,  are  also  to  be 
set  up  in  London.  Offers  of  empty  houses  are 
invited. 


The  report  on  the  working  of  the  Tuberculosis 
Department  started  at  the  Great  Northern  Central 
Hospital — ^by  arrangement  with  the  Islington 
Borough  Council  in  May,  191 7 — shows  that, 
during  the  year  ended  April  30th  last  841  cases 
from  the  northern  half  of  the  borough  were 
treated,  and  that  there  were  3,472  attendances. 
In  addition,  1,510  visits  were  made  to  patients' 
homes,  and  a  considerable  number  of  contacts 
examined.  This  appears  to  be  a  very  satisfactory 
report  of  the  first  year's  working  of  the  new 
dispensary. 

THE     PASSING     BELL. 

We  regret  to  record  the  death  on  August  ist, 
at  the  Bradford  Royal  Infirmary,  of  Miss  Janet 
McGill,  of  93,  Horton  Lane,  since  1894  'the  much 
valued  matron  of  the  Bradford  District  Nursing 
Association,  a  branch  of  the  Nursing  Institu- 
tion in  Manningham.  The  Home  became  a 
separate  institution  in  1904.  The  funeral  took 
place  on  the  5th  inst.  at  the  Scholemoor  Cemetery , 
a  short  service  having  previously  been  held 
at  the  Home.  Both  services  were  conducted  by 
the  Rev.  C  Stewart  Douglas,  Vicar  of  Thornbury, 
Amongst  many  who  sent  wreaths  were  the  members " 
of  the  committee,  the  stafi,  the  house  surgeon,  the 
matron  and  nursing  staff  of  the  Royal  Infirmary. 

Miss  McGill  was  widely  known,  respected,  and 
loved  by  the  sick  poor,  and  her  death  is  a  great 
loss  not  only  to  the  Association  but  to  the  whole 
city.  She  was  a  good  organiser,  kind  and  sympa- 
thetic. Her  whole  life  was  centred  in  her  work, 
and  her  activities  were  not  confined  to  nursing. 
She  was  especially  interested  in  getting  patients 
away  for  a  change  of  air,  and  took  endless  trouble 
to  accomplish  this. 

OUR    ROLL    OF    HONOUR. 

Nursing  Service. 
Wounded. 
Watkins,  Sister  E.  F.,  Q.A.I. M.N.S.R. 

Died. 
Young,  Miss  M.  C,  V.A.D. 


August  17,   1918 


TTbe  British  3ournal  of  mursiiiG. 


"3 


QUEEN    VICTORIA'S    JUBILEE 
INSTITUTE. 


NURSING    ECHOES. 


Her  Majesty  Queen  Alexandra  has  been  gra- 
ciously pleased  to  approve  the  appointment  of  the 
following  to  be  Queen's  Nurses,  to  date  July  ist 

England. — James,  Gladys  L.  H.  ;  Rider,  Grace: 
J.  E.  ;  Fitzpatrick,  A.  T.  ;  Kemp,  Rose  E.  ;  Burgon, 
Jane  ;  Gough,  Hilda  S.  ;  Robson,  Gladys  S.  ; 
Sliotter,  H.  A. 

Wales. — ^Jones,  Janet ;  Owen,  Gwladys., 

Scotland. — Coghlan,  Annie  ;  Dewar,  Jessie  ; 
Macfarlane,  Sarah  ;  McLellan,  Ellen ;  McPhee, 
Mary  ;  Swanson,  Margaret  S.  ;  Walsh,  Marian  ; 
Graham,  Margaret  G.  ; 

Ireland. — Collery,  Nora  ;  O'Doherty,  Sarah  T.  ; 
Phelan,  Glare. 

Transfers  andJAppointments. 

Miss  Selina  Collier  is  appointed  to  Worcester 
C.N. A.  as  Assistant  Superintendent  and  Training 
Sister  ;  Miss  Minnie  A.  E.  Banks,  to  Margate  ; 
Mrs.  Ada  Bulkeley-Jones,  to  Garston  ;  Miss  Kate 
Clarkson,  to  Irlam  ;  Miss  Gertrude  M.  Eraser,  to 
Southall-Norwood  ;  Miss  Evelyn  I.  Gallacher,  to 
Dorking  ;  Miss  Louie  C.  Lakin,  to  Horsham  ;  Miss 
Grace  McCulloch,  to  South  Wimbledon  ;  Miss  Lucy 
McKinlay,  to  Horsham  ;  Miss  Alice  J.  Maclachlan, 
to  Crook  ;  Miss  Emily  M.  Scott,  to  Wolverton  ; 
Miss  Ethel  Thompson,  to  Brownhills. 


APPOINTMENTS. 

MATRON. 

Mowsley  Sanatorium  (Leicestershire  County 
Council). — ^Miss  Jennie  Cardwell  Alcock  has  been 
appointed  Matron.  She  was  trained  at  the 
Crumpsall  Infirmary,  Manchester,  and  has  been 
Sister-in-Charge  of  the  New  Hospital  for  Con- 
sumption, Kimberworth,  Yorkshire,  and  Matron 
of  the  Hinckley  Tuberculosis  (Roadenhoe)  Dispen- 
sary. 

NATIONAL    UNION    OF    TRAINED    NURSES 

Some   Recent   Appointments   Made   Through 

THE  N.U.T.N.  Employment  Centre. 

Norfolk  War  Hospital,  Thorpe,  Norwich. — Ward 
Sister,  Miss  E.  P.  Dailington. 

Women's  After  Care  Hostels. — ^Miss  Percival. 

Addington  Park  War  Hosp.,  Croydon. — Ward 
Sister,  Miss  A.  M.  Mann. 

Exeter,  No.  II  Military  Hosp. — ^Ward  Sister, 
Miss  Ethel  A.  A.  Moon. 

St.  Mary's  Nursery  Training  College. — ^Nurse, 
Mrs.  Eliz.  Johnson. 

Exeter  No.  i  Hosp. — ^Night  Superintendent, 
Miss  A.  Mackinnon. 

Queen  Mary's  Aux.  Mil.  Hosp.,  Roehampton 
House. — ^Night  Charge  Sister,  Miss  S.  E.  McCracken. 

5^  Mark's  Hasp.,  City  Road. — ^Night  Sister,  Miss 
Sillers. 

The  London  Temperance  Hospital. — ^Night  Staff 
Nurse,  Mrs.  M.  M.  Clarke. 


The  interest  aroused  by  the  paper  on 
"  Laboratory  Work  for  Women  "  by  Dr. 
Knyvett  Gordon,  which  we  published  last  week, 
proves  that  the  scientific  side  of  their  work 
is  attractive  to  a  proportion  of  members  of 
the  nursing  profession.  For  such  nurses 
the  British  Scientific  Products  Exhibition, 
organized  by  *  the  British  Science  Guild, 
199,  Piccadilly,  W.,  and  opened  on  Monday, 
last  at  King's  College,  in  the  Strand,  will  hold 
attractions,  and  is  undoubtedly  instructive,  and 
as  it  remains  o'pen  until  September  7th  there 
are  opportunities  of  a  visit  for  all. 

The  aim  of  the  Exhibition  is  to  stimulate 
public  interest  and  confidence  in  the  capacity  of 
British  Science,  combined  with  industrial  enter- 
prise, to  secure  and  maintain  a  leading  place 
amongst  progressive  nations,  and  the  object  is 
the  full  development  of  our  mental  and  material 
resources.  As  Professor  Gregory  pointed  out 
in  an  address  given  at  the  Exhibition,  in  purely 
scientific  research  of  initiative  quality  we  have 
been  the  pioneers  ;  where  we  have  been  deficient 
is  in  the  practical  use  of  the  results  obtained. 
In  short,  we  need  close  association  between 
the  creative  investigator,  the  industrial  re- 
searcher who  seeks  to  apply  knowledge  to 
useful  ends,  and  the  artisan,  whose  work  is 
constructive  arid  technical. 

Amongst  the  exhibitors  are  firms  of  such 
world-wide  repute  as  Me.srs.  Burroughs  Well- 
come &  Co.,  Messrs.  Allen  &  Hanburys,  and 
Boots  Pure  Drug  Company,  Ltd.,  all  of  whom 
have  exhibits  cf  exceptional  interest. 

The  dominant  note  of  Messrs.  Burroughs 
Wellcome  &  Co.  's  exhibit  is  struck  by  the  series 
of  specimens  showing  the  synthesis  of  "  Khar- 
si  van  "  and  "  Neokharsivan,"  which  were  the 
first  British  products  to  take  the  place  of 
German  salvarsan  and  neosalvarsan. 

An  exhibit  which  opens  up  to  nurses  a  vista 
of  an  interesting  hobby,  which  may  also  be  a 
work  of  national  utility,  is  that  arranged  by 
Mrs.  Grieve,  F.R.H.S.,  who  has  a  School  of 
British  Medicinal  and  Commercial  Herb  Grow- 
ing at  the  Whins,  Chalfont  St.  Peter,  Bucks, 
which  represents  an  organized  determination  to 
recapture  from  Germany  and  Austria  the  Herb 
Growing  Industry,  which  those  countries  have 
won  from  Great  Britain.  Before  the  war  we 
spent  annually  ;^2c>o,ooo  on  importations  of 
drug-yielding  Herbs  which  we  could  have 
grown.  What  more  interesting  for  a  nurse 
living  n  the  country  than  the  cultivation  of 
medicinal  herbs?  It  is  further  of  interest  to 
know  that  the  demand  for  properly  trained  herb 


114 


HDc  British  3ournal  of  TRursmQ, 


August  17,   1918 


growers  far  exceeds  the  supply,  and  good  posts 
are  obtainable  for  students  when  proficient. 

The  Council  Meeting  of  the  Metropolitan 
Hospital  Sunday  Fund  have  unanimously 
approved  the  report  of  the  Committee  of  Dis- 
tribution, and  have  directed  the  awards  recom- 
mended to  be  paid.  The  sum  available  this  year 
(;£85,652)  is  a  record  one,  exceeding  the  largest 
previous  total  by  ;£i5,ooo..  It  includes  a  gift 
of  ;£5>ooo  from  the  American  Red  Cross 
Society,  and  £2, ^^2  from  St.  Mark's,  North 
Audley  Street,  the  largest  sum  ever  received 
from  one  London  church,  and  £76  collected  in 
pence  from  St. 
Andrew's,  Lam- 
beth, a  very  poor 
parish. 

Seven  and  a 
half  per  cent,  of 
the  •  total  sum 
available  for  dis- 
tribution is  ap 
propriated  to  the 
purchase  of  sur- 
gical appliances 
during  the  ensu- 
ing year,  and  2^ 
per  cent,  for  dis- 
t  r  i  c  t  nursing 
associations. 

The  following 
are  the  awards 
to  Nursing  Asso- 
ciations :  —  Bel- 
vedere, Abbey 
Wood,  £g; 
Brixton,  ;^36 ; 
Central  St.  Pan- 
c  r  a  s,  -^45; 
Charlton  and 
Blackheath,  ;^9 ; 
Chelsea  and 
Pimlico,  £iS; 
Hackney,  £63; 
Ham  mersmith, 
;^8i ;      H  a  m  p- 

stead,  £27;  Isleworth,  ;^i8;  Kensington, 
£81;  Kilburn,  £g;  Kingston,  ^45;  Lambeth 
Road  (Catholic),  ;£i8;  Metropolitan  (Blooms- 
bury),  £63;  St.  Olave's  (Bermondsey),  £36; 
Paddington  and  Marylebone,  £63 ;  Plaistow, 
£72]  Plaistow  (Maternity),  £72;  Ponders  End, 
Enfield,  &c.,  ;Ci8;  Rotherhithe,  £27;  Shore- 
ditch,  £72;  Sick  Room  Helps  Society,  £g', 
Sidcup,  £g;  Silvertown,  ;;(;i8;  South  London 
(Battersea),  £54 ;  Southwark,  £36 ;  South 
Wimbledon,  £27 ;  Tottenham,  £27 ;  West- 
minster, £26;  Woolwich,  £63;  East  London, 


Sisters  Gregory,  Steinhofi,  Green  and  Burke, 

Sisters  Burton,  Klein  and  Kmc, 

Sisler  Beck 

AT    THE    JAMSETJI     JIJIBHAI     HOSPITAL.     BOMBAY. 


£iS5  ;  North  London,  ;£8i ;  Ranyard  Nurses, 
£5U-  

Our  illustration  on  this  page  shows  a  group 
of  Sisters  at  the  Jamsetji  Jijibhai  Hospital, 
Bombay,  a  hospital  which  owes  its  foundation 
to  the  munificence  of  Sir  Jamsetji  Jijibhai,  a 
Parsi  gentleman  in  Bombay. 

How  many  English  nurses  know  anything 
of  the  Parsis,  a  community  of  Persian  origin, 
their  customs,  their  faith,  their  family  life 
based  on  the  patriarchal  system,  the  astuteness 
of  their  men,  the  beauty  of  their  women? 

It    was    on    a 

■ journey     to     the 

East  that  the 
writer  first  got 
to  know  a  Parsi 
family.  Were  it 
not  for  their 
Oriental  dress, 
their  olive-tinted 
CO  m  p 1 e  xions 
might  be  taken 
for  those  of 
Spaniards  o  r 
Italians,  but  the 
quaint,  stiff, 

shiny  black  hats 
of  the  men,  not 
unlike  a  bishop's 
m'tre  without 
the  point,  and 
the  rich  graceful 
saris  of  the 
women,  indicate 
u  n  m  i  s  t  akably 
their  Oriental 
extraction.  A 
Parsi  girl, 
lovely,  graceful, 
modest,  is  .  a 
thing  of  beauty, 
though  early 
middle  age  prob- 
ably finds  her 
slimness  a  memory  of  the  past. 

The  group  of  hospitals  in  Bombay,  including 
St.  George's  (the  European  Hospital),  the 
Jamsetji,  and  the  Cama,  a  women's  hospital 
with  a  school  of  midwifery  recognized  by  the 
Central  Midwives  Board  in  this  countrj-,  in 
which  the  Sisters  of  the  All  Saints  Community 
did  such  valuable  pioneer  work,  have  turned 
out  many  well-trained  nurses,  European, 
Eurasian,  and  native.  For  those  who  intend  to 
work  subsequently  in  India,  the  training  given 
in  these  hospitals  is  specially  valuable,  as  they 


August  17,   1918 


dbe  Britieb  3ournal  of  IRurstno. 


"5 


not  only  receive  a  good  professional  education, 
but  become  acquainted  with  the  conditions  of 
life  of  those  amongst  whom  they  will  subse- 
quently work,  and  how  to  deal  with  the 
problems  which  will  confront  them. 

THE  HOSpItAL  laundry. 

Most  of  the  provincial  general  hospitals  havt 
their  own  steam  laundry  attached  in  the  grounds, 
the  working  and  welfare  coming  under  the 
Nursing  department.  The  ideal  laundry  building 
is  still  to  be  planned,  by  the  woman  who  knows 
its  resources  best,  but  until  Utopia  arrives 
■what  is  at  present  in  working  order  must  be  utilized 
to  the  best  and  fullest  advantage. 

The  Staff. — The  Board  of  Trade  considers  that 
i:o  each  500  articles  one  worker  must  be  allowed. 
This,  taken  all  round,  is  a  fair  division,  and, 
Tvith  care,  should  work  easily  and  well. 

All  laundry  workers  come  under  the  control 
■of  the  same  Board,  they  must  work  for  the 
prescribed  hours  with  stated  times  for  meals, 
their  Sundays  must  be  free  and  Bank  Holidays 
-counted  as  holidays. 

As  a  rule  the  hospital  laundry  workers  prefer 
to  be  free  from  noon  on  Saturday  until  Monday 
morning,  with  hours  off  two  evenings  during  the 
week,  which  enables  them  to  get  away  from  the 
lieat  and  noise  of  the  laundry. 

A  weU-trained  and  experienced  head  laundress 
who  though  not  required  to  run  the  machinery 
thoroughly  understands  it,  is  absolutely 
necessary,  She  arranges  and  controls  the  work 
•of  the  laundry,  keeping  to  the  special  time  table 
which  is  as  a  rule  drawn  up  by  the  Matron  or  her 
^Assistant  as  best  capable  of  taking  in  all  the  work 
of  the  week.  Her  work  consists  of  sorting,  pack- 
ing, checking,  superintending  the  calender  and 
collar  machines,  and  personally  attending  to  the 
work  of  the  patients,  officers,  nurses  and  maids. 

It  is  better  for  the  laundry  staff,  if  possible 
to  have  their  own  sleeping  apartments  apart 
from  the  ordinary  staff,  and  to  have  separate 
meals  The  hospital  provides  them  with  uniform 
?nd  clogs  for  the  wash-house,  and  with  mack- 
intosh aprons  to  protect  them  whilst  actually 
washing  the  clothes,  • 

^  For  a  hospital  of  120   beds   and   the  necessary 

staff,  .  one    head    laundress     and     four     maids, 

engineer  and  stoker  should  be  ample — the  weekly 

average  of  articles  washed  making  a  total  of  3,800. 

The   Building. — Tlvis   ought   to   be   well    apart 

from  the  main  building  so  that  the  smoke  from 

the  stoke  house  and  the  noise  of  the  plant  will 

not  disturb  the  patients.     A  prepared  footpath 

should  lead  to  it  so  that  the  staff  in  all  weathers 

■  can  go  and  come  easily.  The  machinery,  should  be 

well  arranged  so  that'each  stage  of  the  process  may 

be  got  through  in  the  best  possible  manner — 

washers,  hydros,  drying-room,  calender,  mangle, 

ironers,  all  following  in  their  various  degrees  of  use. 

The  ironing  stove  should  not  be  in  the  same 

-department  as   that    where    the    actual    ironing 


is  done,  as  even  with  the  aid  of  asbestos 
screens,  ventilation,  and  electric  fans,  the  heat 
in  the  summer  months  rises  in  a  surprising  way. 

There  should  be  pigeon-holes  specially  marked 
for  each  department  and  numerous  laundry 
baskets  and  trollies  to  hold  the  clothes 

Superintendent. — Under  this  heading  comes  the 
work  of  checking  and  entering  all  articles  sent  by 
the  wards,  nursing  department,  home,  house, 
maids,  &c 

The  special  books  are  returned  to  the  Matron's 
ofi&ce  weekly  to  be  gone  through  and  all  missing 
articles  reported.  When  possible,  it  is  best  for 
the  Assistant  Matron  to  obtain  daily  a  list  from 
the  Ward  Sisters  and  check  this  with  that  of  the 
head  laundress. 

Where  a  venereal  clinique  is  attached  to  the 
Out-Patients'  Department,  specially  marked  linen, 
which  is  treated  in  the  same  manner  as  that  of 
infectious  cases  is  the  best  and  safest  method. 

Each  day  has  its  special  work,  the  Nurses'  and 
house  linen  being  done  on  days  which  are  not 
set  apart  for  the  ward  linen. 

The  theatie  washing,  which  in  most  busy 
general  hospitals  is  a  very  heavy  item,  should  be 
done  daily  and  returned  at  a  stated  time  for 
sterilization,  this  also  applies  to  ward  draw  sheets 
and  children's  sundries. 

Stores. — These  are  called  weekly,  preferably  on 
Saturday,  so  that  the  soap  may  be  melted,  starch 
prepared,  and  soda  portioned  out,  ready  for  the 
new  week's  work. 

In  a  hospital  where  all  garments  are  plainly 
and  clearly  marked  and  stocktaking  is  undertaken 
frequently  there  is  very  little  trouble  from  lost 
articles.  M.  K.   S. 


The  Law  Ofl&cers  of  the  Crown  have  expressed 
the  opinion  that  a  woman  is  not  entitled  to  be  a 
candidate  for  Parliament,  but  jMr.  Bonar  Law, 
replying  to  questions  in  the  House  of  Commons, 
stated  that  the  introduction  of  legislation  to  make 
this  legal  would  be  considered  by  the  Government, 
and  admitted  that  when  the  question  of  extending 
the  Parliamentary  Franchise  to»women  was  under 
discussion  it  was  repeatedly  said  that  when  they 
gave  the  franchise  to  women  they  could  not  refuse 
their  admission  to  the  House, 


Mr.  Bonar  Law,  replying  in  the  House  of 
Commons  to  Colonel  Sir  J.  Craig  (Down,  E.,  U.), 
also  said,  if  there  was  a  general  desire  he  wovld 
be  glad  to  arrange  an  opportunity  after  the  recess 
for  a  discussion  on  the  question  of  opening  the 
available  galleries  of  the  House  to  women  and 
men  impartially. 


The  Home  Secretary  has  expressed  himself  in 
entire  sympathy  with  the  proposal  for  the  forma- 
tion of  a  body  of  women  police,  and  also  of  the 
establishment  of  women  special  constables  during 
the  war,  and  promised  a  deputation,  introduced  by 
Lord  Sydenham,  to  consider  the  whole  project 
with  a  view  to  its  development. 


ii6 


^be  British  3ournal  of  "Kurgiug. 


August  17,   1918 


BOOK    OF   THE   WEEK. 


THE    GIRL    FROM    KURDISTAN.* 

Miss  Kerruish  will  be  remembered  as  the  author 
of  '•'  Miss  Haroun  Al-Raschid,"  which  book  won 
the  thousand  guinea  competition  cfEered  by 
Messrs.  Hodder  &  Stoughton  ;  so  her  present 
novel,  dealing  with  Persian  customs  and  intrigue 
must  command  our  attention.  Those  who  are 
acquainted  with  the  position  of  European  govern- 
ment officials  in  the  east  will  be  aware  that  their 
position  is  often  one  that  requires  very  careful 
handling,  and  it  is  from  this  point  that  the  book 
under  consideration  is  written. 

The  opening  chapter  describes  the  position  of  a 
young  Armenian  lad,  from,  "  forgetting  he  had  a 
knife  in  his  hand  when  he  struck  a  man  and  God 
decreed  that  his  neck  vein  should  be  cut.  The 
blood  ran  all  over  my  hand — see,  all.  And  his 
brother  said  he  would  ki  1  me.''  He  was  rescued 
from  the  infuriated  relative  by  Europeans  in  a 
barouche  dri\ien  by  a  Cossack  coachman.  Escort- 
ing it  was  a  yelling  and  threatening  mob  of  street 
roughs,  slipshod  policemen  and  a  few  respectable 
but  enraged  men  of  the  better  class  and  the 
inevitable  rabble  of. urchins.  Two  figures  emerged 
and  stepped  out  for  the  Toup.  The  larger  was 
a  big  man  of  five-and-thirty,  undeniably  British, 
his  ruddy  curls  prematurely  grizzled  at  the  temples, 
his  eyes  choleric  by  habit.  He  led  his  companion 
by  one  gloved  finger  hooked  in  a  greasy  collar. 

"  The  very  shadow  of  the  Pearly  Gun  is  Basr 
(refuge),"  said  the  European.  He  swung  a  foot 
back  and  shot  his  charge  sprawling  into  the 
sanctuary. 

He  then  made  his  stately  way  back  to  the 
carriage.     The  ladies  were  comparing  torn  flounces. 

"  No  garden  party  after  all,  and  a  nasly,  dirty 
criminal  sitting  on  my  feet  all  the  way  from 
Shim! ah  Gate." 

It  was  unconventional  Janet  Macroy,  who  got 
herself  into  a  nasty  hole,  by  her  friendship  with 
Hajji  Jaffier,  the  chief  of  a  tribe,  who  was  kept 
in  Teheran  by  the  Shah  as  a  hostage  for  its  good 
behaviour. 

"  The  Hajji  Khan  was  hawking  and  interrupted 
his  sport  to  put  me  on  the  road,"  Janet  explained 
to  Perdita,  as  she  made  the  introductions. 

The  Khan  stroked  down  the  diminutive  falcon 
that  was  perched  on  his  wrist  and  broke  in  depreca- 
tingly.  What  was  a  lifetime's  sport  compared  to 
the  least  service  to  the  Shehzadeh  Khanoum  ?  So 
he  demanded,  and  vowed  furthermore  that  the 
joy  of  meeting  her  had  cured  him  of  several  speci- 
fied diseases." 

Self -wiled  Janet,  although  long  resident  in  the 
East,  chose  to  ignore  the  gulf  that  separates  East 
from  West,  but  in  justice  to  her  she  was  unaware  of 
the  havoc  her  friendship  with  the  Eastern  caused  in 
the  breast  of  his  little  wife.     By  strategy  Janet's 

^  By  Jessie  Douglas  Kerruish.  (Hodder  & 
Stoughton,  London.) 


friends  contrive  a  meeting  between  her  and  the 
little  heart-broken  woman. 

"  You  are  a  Hakim  Khanoum,  yea,  and  a  white 
sorceress.  I  can  see  it  in  your  eyes.  You  will 
give  me  a  philtre,  a  love  potion  ?  " 

She  fell  full  length  and  kissed  Janet's  shoes,  not 
knowing  her  identity. 

"  The  smallest  Ferenghi  philtre  would  bring  him 
back.  It  is  a  Ferenghi  woman  who  hath  led  him 
away,  and  may  Allah  send  her  swiftly  to  his 
kindled  fire.  And  may  he  furthermore  make 
every  Ferenghi  golden  hair  of  her  a  serpent  to 
gnaw  the  black  Ferenghi  heart  of  her  to  the  last 
sounding  of  Serafil's  Wakening  Trump. 

Janet  Macroy,  one  of  the  best  of  women  at 
heart,  once  having  grasped  the  situation  dealt 
with  it  thoroughly. 

"  Thou  hast  something  better  than  spells,"  she 
said.  "  Thy  little  one  doth  but  reckon  her  age 
in  days.  Take  her  and  cherish  her,  O  my  sister, 
that  when  he  returns  she  may  be  a  sweet  comfort 
to  him,  and  a  rosy  link  between  ye  twain." 

She  further  assures  Hajji  Khan  :  "  A  Christian 
gentlewoman  does  not  wed  a  Muslim.  I  never 
dreamed  thou  wouldst  entertain  such  a  thought. 
Hear  thee  that  for  it,  I  will  have  nothing  more 
to  do  with  thee,  and  leave  thee  to  do  to  me  as 
thou  wilt." 

"  Do  you  deem,  I  may,  as  I  can,  cast  dirt  on  your 
name  in  the  ears  of  Teheran  ?  " 

But  though,  for  political  reasons,  he  did  not  dare 
to  take  this  step,  Janet  came  near  to  being  ostra- 
cised for  her  foolishness,  and  it  required  all  the 
finesse  of  her  friends  to  prevent  ugly  consequences. 

But  as  her  friend,  Madame  Ecroy  said  :  "  Janet 
is  always  rather  fine  when  she  really  knows  what 
she  is  doing." 

We  feel  sure  that  this  story,  that  brings  so 
vividly  the  atmosphere  of  the  East  around  us, 
will  be  welcomed  by  many  readers  who  are  wearied 
by  the  commonplace,  H.  H. 


THE  LAY  OF  THE  LAZY  NUR5E. 

Breathes  there  a  nurse  with  soul  so  dead 
Who  never  to  herself  hath  said  : 
"  To-morrow  morning  I  will  rise 
Before  the  sun  lights  up  the  skies. 
Soon  as  the  calling  maid  shall  ring, 
Before  the  birds  begin  to  sing, 
Fresh  as  a  lark  I  shall  awake ; 
An  early  morning  walk  I'll  take." 
And,  when  at  an  unearthly  hour 
Next  morn,  the  maid  with  awful  power 
Makes  noise  enough  to  stir  the  dead, 
And  wake  the  nurse  upon  her  bed. 
Breathes  there  a  nurse,  I  now  repeat, 
Who  wouldn't  send  her  twenty  feet, 
Then  back  beneath  the  counterpane 
With  restful  sigh  doze  off  again  ? 

(With  apologies  to  Scott.) 

E.  E.  Thirkell. 
In  the  Journal  of  the  Leeds  Township 

Infirmary  Nurses  League. 


The  British    Toumal  c/  Nurttng,  August  17,  191S. 


"  Science  is,  I  believe, 
nothing  but  trained  and 
organized  common-sense, 
differing  from  the  latter 
only  as  a  veteran  may 
differ  from  a  raw  recruit ; 
and  its  methods  diffe' 
from  those  of  common- 
sense  only  so  far  as  the 
Guardsman's  cut  and 
thrust  differ  from  the 
manner  in  which  a  savage 
wields  his  club." 

ProfeiioT  Huxley. 


The  Basis 
of 
Science 


BOOTS  PURE  DRUG  COMPANY  LIMITED  wish  to  draw  the 
attention  of  the  medical  profession  to  the  following  seven  scientific 
preparations.  Practitioners  who  endeavour  to  keep  abreast  of  the  times 
will  find  these  modern  antiseptics  of  superlative  value  in  general  practice. 


TABLETS  OF  CHLORAMINE-T 

One  tablet  dissolved  in  two  ounces  of  water  makes 
•  one  per  cent,  solution. 

Bottles  of  25.  8*75  grain  tablets,  1/2 
50.    .,         „         ,.        2/- 

100 3/9 

One  tablet  dissolved  in  ten  ounces  of  water  m^fkes 
a  one  per  cent   solution. 

Bottles  of  12  43-75  grain  tablets,  1/10 

CHLORAMINE-T  CREAM 

Containing  approximately  one  per  eent.  Chlora- 
mine-T.  Described  and  investigated  under  the 
name  of  Chloramine  Paste  by  Vincent  Daufresne, 
Carrel.  Hartmann  and  others,  in  the  Journal  «/ 
Experimtnlal  Medicine,  1917. 

In  PoU.    Trial  size.  9d. ;  large  sice,  3/6. 

TABLETS  OF  PROFLAVINE 

(with  todium  chloride). 

One  tablet  dissolved  in  four  fluid  ounces  sterile 
water  makes  1:1000  Proflavine  in   normal  saline. 

Bottles  of  100  tablets,  S/6 

DAKIfTS   NEW  WATER   DISINFECTANT. 
Vidm  BMJ.,  May,  1917. 

The  action  of  Halazone  is  positive,  and  may  be  relied  upon  for  crudest  waters.  Each  tablet  is  sufficient  to 
sterilize  one  quart  of  contaminated  water,  but  in  cases  of  extreme  contamination  a  second  tablet  may  be 
necessary.    Halazon^  is  invaluable  for  those  on  active  service  overseas,  more  particularly  in  hot  climates. 

Bottles  of  100  tablets.  6d. 

Supplies  are  available  for  pretCTiplion  aeroice  on  application 
through  any  of  the  hranchet  of  BOOTS  WM  CHEMISTS. 

Boots  Pure  Drug  Company  Limited 

MANUFACTURING    CHEMISTS    AND   MAKERS   OF   FINE   CHEMICALS. 
He«d  Offices:    Station  Street.  Notttnsham.        JESSE  BOOT.  Managing  Direc(«r. 


CHLORAMINE-T 

(p-loluene-iodium-tulphoehloramide). 

Dakin's  ideal  antiseptic,  of  wide  applicability  is 
medicine  and  surgery. 

In  bottles  of  loz..  1/2;   4oz..  3/6;  lib..  12/S 

CHLORAMINE-T  GAUZE 

In  two  strenfcths,  containins  approximately  5% 
and  35%  Chloramine-T.  (5%  supplied  unless 
otherwise  specified).  This  should  be  fixed  dry 
and  subsequently  moistened,  if  necessary,  when 
in  position. 

In  sealed  packages  only,  jfiict  1/6  per  package. 

PROFLAVINE 

(3'6  diamino-aertdlnt-iulphale). 
The  improved  Flavine  derivative. 

Equal  in  antiseptic  powers  to  Acriflavine,  and  in 
important  respects  superior,  being  markedly  less 
toxic  and  less  irritating.  Proflavine,  being  less 
costly  to  manufacture,  can  be  sold  at  a  substantially 
lower  price  than  Acriflavijie. 

5  Kram  bottle,  1/4 :  20  gram  bottle.  5/- 

HALAZONE  TABLETS. 


ii8 


Ebe  Brttieb  3ournal  ot  flureing. 


August  17,   1918 


LETTERS  TO  THE  EDITOR. 

Whilst  cordially  inviting  communications  upon 
all  subjects  for  these  columns,  we  wish  it  to  b$ 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

A     CERTIFICATE    OF     EXISTENCE. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  MadahI, — In  your  issue  of  The  British 
Journal  of  Nursing  (July  27th),  I  saw  a  letter, 
complaining  of  hardship  imposed  on  the  annui- 
tants of  R.N. P.F.N.  It  sounded  so  unlike  that 
valuable  fund  that  I  cut  it  out  and  asked  what 
it  meant.  I  enclose  Mr.  Dick's  reply  and  should 
be  so  glad  if  you  would  make  it  public  in  your 
valuable  paper.  What  a  pity  nurse  did  not  find 
out  facts  before  rushing  into  print. 

I  wish  some  of  the  letters  about  the  "  Merry 
Mummers  "  could  be  copied  into  the  daily  papers, 
so  th^t  the  public  could  see  what  nurses  think 
of  those  who  are  dragging  down  an  honourable 
profession  as  an  excuse  to  show  off  and  gambol, 
and  this  while  the  greater  number  of  the  profes- 
sion are  living  and  sometimes  dying  for  the  men 
who  are  bleeding  for  their  country.  Is  there  no 
way  in  which  we  can  stop  this  "  War  Charity  "  ? 
Believe  me.  Yours  sincerely, 

S.    SULIVAN, 

Harrow.  Member  R.B.N.A. 

Letter  to  Miss  Sulivan  from  the  Secretary 
R.N.P.F.N. 
Dear  Madam, — ^The  cutting  which  you  enclose 
contains  a  misrepresentation  of  the  facts. '  It  is 
quite  untrue  that  we  requiie  our  annuitants  each 
month  to  send  a  doctor's  certificate  and  a  clergy- 
man's certificate.     The  facts  are  these  : — 

About  six  months  ago  we  requested  our  annui- 
tants, for  the  first  time  in  the  history  of  the  Fund, 
to  obtain  a  Certificate  of  Existence,  signed  by  a 
professional  or  other  responsible  man  to  the 
effect  that' she  was  alive  at  the  date  of  signing  the 
certificate.  This  formality  was  for  the  satis- 
faction of  our  actuaries,  and  was  a  measure  framed 
in  the  interests  of  the  policy-holders  of  the  Fund. 
It  may  not  be  necessary  to  trouble  the  annuitants 
again,  at  any  rate  not  for  some  considerable  time. 
In  the  ordinary  course,  all  we  require  the  Nurse 
to  do  is  to  sign  a  receipt  for  the  quarterly  instal- 
ment of  her  pension  in  the  presence  of  a  witness. 
Yours  faithfully, 

Louis  H.  M.  Dick, 

Secretary. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — I  have  been  much  interested  in 
the  two  letters  published  in  your  Journal  as  to 
the  new  condition  to  be  complied  with  before 
annuitants  of  the  R.N-.P.F.  for  Nurses  receive  their 
annuity. 

I  was  requested  last  March  to  get  a  signature 
from  magistrate  or  doctor,  &c.,  to  say  that  I  was 
alive.  I  did  nothing  that  time.  In  June  no 
cheque  was  sent,  but  another  request  for  a  certifir.,. 


cate  of  existence.  I  wrote  and  declined,  and  gave 
as  one  reason  for  my  refusal  that  I  did  not  wish 
to  add  to  the  conditions  under  which  I  joined, 
especially  as  this  would  be  so  burdensome.  I 
received  another  letter,  arguing  the  point  and 
saying  the  condition  was  covered  by  Article  5, 
which,  however,  simply  says  that  in  the  first 
instance  the  applicant  must  satisfy  the  Council 
that  she  has  given  correct  dates,  and  so  on,  at 
first,  before  any  payment  can  be  made,  and  (here 
your  second  correspondent  has  not  taken  in  what 
will  be  asked  of  her)  that  they  will  not  ask  again 
for  another  certificate  till  September — ^just  three 
months  later. 

I  wrote  again,  saying  it  was  not  worth  my  while 
for  ;^io  a  year  to  undergo  the  worry  and  incon- 
venience entailed,  but  that  if  they  were  doubtful 
as  to  my  existence  they  could  pay  the  amount  due 
into  my  bank,  and  it  was  paid. 

The  absurdity  of  it  is  that  the  annuity  had 
never  been  paid  without  the  signature  of  a  witness, 
and  either  my  partner  or  our  secretary  witnessed 
my  signature.  One  can  only  suppose  that,  though 
women  really  have  a  vote  now,  that  the  Pension 
Fund  Council  still  do  not  consider  a  woman's 
signature  to  be  a  trustworthy  voucher,  and  the 
hardship  of  it  is  that  nurses  living  in  places  where 
everyone's  business  is  known  will  be  obliged 
to  ask  outside  people  for  signatures,  thereby 
admitting  them  to  a  knowledge  of  their  private 
affairs. 

Yours  faithfully, 

Christina  Forrest, 
Matron  Victoria  and  Bournemouth 

Nurses'  Institute. 

A     CHANGE     NEEDED. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — In  the  early  days  of  the  war  a 
large  number  of  Nurses  were  sent  to  the  Mediter- 
ranean, Egypt,  and  later  to  India. 

Last  week  I  was  speaking  to  a  medical  man 
heme  frcm  there,  and  he  informed  me  that  their 
lot  is  a  very  hard  one. 

Three  years  in  a  climate  to  which  they  were 
unaccustomed  coupled  with  constant  strain  of 
hard  and  anxious  work,  unhealthy  surroundings, 
has  reduced  them  to  a  pitiable  state,  which  calls 
for  immediate  attention. 

They  beg  for  a  change  to  Europe,  or  even  to 
Egypt,  but  no  notice  is  taken  of  their  request. 

I  am  sure  it  is  only  necessary  to  call  the  atten- 
tion of  the  higher  authorities  at  home  to  this  in 
order  to  bring  about  amelioration  of  the  condition 
of  those  devot^3d  women.  Perhaps  some  Member 
would  raise  the  matter  by  question  in  the  House  of 
Commons  '  Faithfully  yours, 

London, W.' I." '^''^''  M.  C.  W. 


OUR 


PRIZE     COMPETITION. 

QUESTIONS. 

August  315^. — ^Mention  some  of  the  principal 
disorders  of  the  nervous  system,  and  the  duties  of 
thienuirg^Jer  reg^d  to  tbem. 


August  17,  1918  zbc  Britlab  3ournal  of  fluraina  Supplement 

The  Midwife. 


"9 


IS  A  SPECIAL  TRAINING  FOR  TEACHERS 
DESIRABLE  ?  * 

By  Miss  M.  Olive  Haydon. 
The  certificated  teacher  is  a  feature  of  modern 
times,  we  have  the  certificated  teacher  of  massage, 
cookery,  laundry,  and  other  aits  and  crafts  ;  the 
teaching  of  practical  midwifery  is  on  the  same 
lines  as  these,  but  on  a  higher  plane — a  higher 
plane  because  indifferent  bad,  or  careless  teaching 
may  endanger  the  lives  of  mothers  and  babies. 
At  present  practical  teachers  of  midwifery  have 
to  satisfy  the  Central  Midwives  Board  as  to  their 
experience,  their  management  of  their  practice, 
their  character,  and  their  wilUngness  to  give 
adequate  instruction  to  the  pupils.  All  these  are 
admirbale  in  themselves,  and  necessary,  but  it 
does  not  follow  that  such  an  approved  teacher 
has  the  gift  or  ability  for  imparting  her  knowledge. 
It  is  as  much  a  fallacy  that  any  skilful  midwife 
can  teach  as  it  is  that  every  mother  has  an  instinc- 
tive knowledge  of  how  to  manage  a  baby. 

There  are  a  few  gifted  persons  who,  without  any 
special  training  for  teaching  do  it  inspiringly, 
originally,  and  brilliantly  ;  they  are  not  always 
the  most  learned  in  theory,  but  they  are  usually 
people  with  love  and  enthusiasm  for  their  work, 
progressive,  and  intensely  interested  in  "  leading 
out  "  the  mental  and  physical  capacities  of  their 
fellows.  The  born  teacher  loves  the  pupil  to  excel 
in  his  or  her  work,  and  even  to  excel  him  or  her. 
There  are  exceptional  pupils  who  have  previously 
beeii  educated  in  other  branches  of  work  who 
iearn  without  teaching.  But  such  teachers  and 
pupils  are  rare. 

In  the  educationallworld  it  is  coming  about 
more'  and  more  that  a  high  degree  is  not  sufficient 
to  secure  a  good  post  as  teacher,  unless  its 
possessor  has  also  taken  a  course  of  practical 
training  as  a  teacher. 

There  are,  it  must  be  confessed,  men  and 
women  who  would  never  make  good  teachers  what- 
ever courses  they  followed  ;  th^re  are  the  "  born  " 
teachers  who  might  profit  httle  by  them  ;  midway 
is  the  mass  of  average  ability  who  greatly  profit 
by  such  courses.  The  majority  of  practical 
teachers  of  midwifery  would,  I  think,  welcome  a 
special  training  for  their  difficult  and  delicate 
task,  and  would  do  their  work  better  if  they  were 
more  conversant  with  the  principles  that  underlie 
successful  teaching,  had  some  knowledge  of 
psychology,  were  conversant  with  the  methods 
of  men  and  women  who  stand  out  as  great 
teachers. 

The  teaching  of  practical  midwifery  is,  in  many 
respects,  similar  to  the  teaching  of  little  children — 

♦  A  Paper  read  at  the  Conference  for  Teachers 
of  Pupil  Midwives,  Midwives'  Institute,  London, 
May  30th,  1918, 


the  training  of  the  senses  to  observe  accurately, 
manual  training,  the  training  in  expression  of  sense 
impressions,  in  making  discoveries,  and  in  applying 
common    sense    and    such    knowledge    as    they 
possess,  practically.     Every  teacher  of  midwifery _ 
would  do  well  to  study  the  work  of    such  people 
as  Froebel,  Rousseau,  James,  Montessori.     There 
are  latent  capacities  in  everyone  that  only  need 
suitable  environment  and  opportunities  to  develop, 
and  our  problem  as  practical  teachers  is  how  l>est 
to  deal  with  each  individual.     Personally  I  found 
Madame   Montessori's   book   a  great   inspiration 
and    encouragement ;     she    thought    out    good 
methods  for  educating  feeble-minded  and  back- 
ward children,  and  met  with  wonderful  success. 
Most  of  us  are  backward,  and  many  of  us  are 
comparatively  feeble-minded  (I  mean  in  contrast 
to  what   we    might   be),  and    certainly  many  of 
our  pupils,  owing  to  the  stupid  way  they  have  been 
taught  in  earlier  years,   are  poor  material.     In 
desperation  we  are  apt  to  perpetuate  bad  methods, 
learning    by    rote,    unintelligent    swallowing    of 
information,  slavery  to  printed  matter,  incapacity 
for  retaining  whatever  is  not  written  down,  &e. 
A  German  girl  once  said  to  me,  "  in  England  it  is 
always   '  schreiber,    schreiber  '    (write,    write)  ;  in 
Germany  our    professors  say  '  denken  '     (think). 
They  do  not  all  do  so.     We  teachers  are  faithful 
to    Madam   How.       We    are    afraid    of    Madam 
Why? 

practical  teachers  of  midwifery  have  much  the 
same  job  as  the  N.C.O.s  of  the  Army.  They  may 
be  weak  on  strategy,  history,  mathematics,  but 
they  have  been  through  the  mill ;  they  know 
"  how  "  things  should  be  done,  if  they  do  not  know 
"  why."  So  the  teacher  of  practical  midwifery 
usually  knows  how  to  manage  normal  pregnancies, 
labour,  or  puerperia  ;  although  she  may  know 
little  of  embryology,  bacteriology,  and  other 
sciences.  The  N.C.O.  who  was  progressive 
enough  to  study  theory,  would  probably  get  a 
commission  ;  why  should  not  the  practical  teacher 
of  midwifery,  who  studied  theory  more  advanced 
than  that  required  to  be  certified,  be  promoted  ? 

I  understand  that  in  Scotch  universities  it  is 
the  custom  for  aspiring  graduates  to  take  students 
foo:  coaching  outside  the  university  ;  if  they  gain 
a  reputation  as  able  men,  they  are  likely  to  be 
offered  a  chair  in  the  university  with  wider 
opportunities.  I  like  to  look  forward  to  a  time 
when  the  Midwives'  Institute  will  be  the  College 
of  Midwifery,  with  the  ablest  professors  to  pilot 
it,  and  midwives,  who  have  distinguished  them- 
selves as  teachers,  will  have  opportunity  to  help 
practically  juniors  and  midwives  who  are  keen 
to  train  pupils. 

This  Conference,  brief  as  it  is,  may  be  regarded 
as  a  course  for  practical  teachers,  for  its  aim  is  to 
inspire  higher  ideals.  We  hope  that  it  may  be 
held  yearly  in   different   centres.     The   demon- 


I20 


dbe  jBrltieb  3ournal  of  Duretnc  Supplement  ^"5^"^*  ^7,  1918 


strations  and  clinics  are  not  simply  to  give  informa- 
tion, but  to  demonstrate  good  methods  of  con- 
ducting the  same. 

-  We  are  specially  privileged  to  have  lectures 
from  the  leading  teachers  of  midwifery  to  pupil 
midwives  ;  they  cannot  fail  to  '  inspire  us  to 
remodel  our  practical  teaching  in  some  cases, 
to  realize  how  great  a  factor  is  the  personality  of 
the  teacher,  and  to  aspire  to  educate  individually, 
more  truly  and  thoroughly,  each  pupil  that  comes 
to  us  to  be  initiated  into  an  art  and  science  of 
which  we  ourselves  feel  that  there  is  much  yet 
to  be  perfected,  to  be  discovered,  to  learn. 

The  question  as  to  whether  some  test  of  the 
midwife's  ability  to  teach  practical  midwifery  is 
desirable  is  an  open  one.  Personally,  I  think  an 
oral  and  practical  examination,  which  should 
include  a  demonstration,  a  clinic,  and  the  taking 
of  a  coaching  class,  would  be  excellent.  We  are 
all  apt  to  grow  stale — to  get  "  sick  of  perpetual 
pupil  "  (to  modify  Lamb's  phrase),  and  we  can 
only  improve  the  education  of  our  pupils  by 
improving  our  own  education.  We  ought  to  do 
that  practically  at  every  case  we  conduct,  if  we 
put  our  minds  into  it.  New  acquisition  of  know- 
ledge will,  in  many  cases,  make  us  better  midwives, 
and  better  teachers,  and  if  there  is  anything  to 
be  said  for  a  higher  theoretical  examination, 
demanding  a  wider  knowledge  of  maternity  and 
child-welfare  than  is  required  to  become  qualified 
as  a  midwife,  it  is  that  it  will  stimulate  our  lazy 
brains  and  keep  us  from  numbness  and  rust, 
"  the  arch  foe  of  women." 


BILL   TO    AMEND    THE    MIDWIVES 
ACT,   1902. 

On  Thursday,  August  8th,  in  the  House  of 
Commons  (the  day  on  which  the  House  adjourned), 
,the  Bill  to  amend  the  Midwives  Act,  1902,  was 
presented  by  Mr.  Hayes  Fisher,  President  of  the 
Local  Government  Board,  on  behalf  of  theGovern- 
ment,  and  read  a  first  time. 

Mr.  Bonar  Law,  replying  to  Mr.  Herbert  Samuel, 
stated  that  when  the  House  reassembled  on 
Tuesday,  October  15th,  the  Bill  would  be  taken. 

THE    MATERNITY    AND    CHILD 
WELFARE   BILL, 

The  Maternity  and  Child  Welfare  Bill,  "  An 
Act  to  make  further  provision  for  the  Health  of 
Mothers  and  Young  Children,"  has  now  passed 
both  Houses  of  Parliament.  It  provides  that 
"  any  local  authority  within  the  meaning  of  the 
^Notification  of  Births  Act,  1907,  may  make  such 
arrangements  as  may  be  sanctioned  by  the  Local 
Government  Board  for  attending  to  the  health  of 
expectant  mothers  and  nursing  mothers,  and  of 
children  who  have  not  attained  the  age  of  iive 
years,  and  are  not  being  educated  in  schools 
recognised  by  the  Board  of  Education." 

The  Bill  has  received  the  Royal  Assent. 


CENTRAL    MIDWIVES    BOARD    FOR 
SCOTLAND. 

Report  on  the  Work  of  the  Board. 

The  Report  on  the  work  of  the  Central  Mid- 
wives  Board  for  Scotland  for  the  year  ended 
March  31st,  1918,  and  presented  to  both  Houses 
of  Parliament  by  command  of  His  Majesty,  is  now 
published,  and  may  be  purchased  through  any 
booksellers  or  directly  from  H.M.  Stationery 
Office,  Imperial  House,  Kingsway,  London,  W.C.  2, 
price  id.  net.     The  following  items  are  of  interest — 

Midwives'  Roll. 

The  total  number  of  enrolments  is  made  up  of 
1,351  by  certificate,  1,695  ^^  bona  fide  practice, 
and  264  after  passing  the  Examination  of  the 
Board. 

The  returns  made  by  the  Local  Supervising 
Authorities,  under  Section  16  (6)  of  the  Act  show 
that  to  date  1,408  midwives  notified  their  intention 
of  practising,  and  the  names  of  these  women  have 
been  prefixed  by  a  star  in  the  Roll. 

Financial  Statement. 

The  work  of  the  Board  has  been  carried  out  in 
an  efficient  and  economical  manner.  A  credit 
balance  has  been  carried  forward  to  next  year 
without  requiring  any  levy  on  the  Supervising 
Authorities. 

Voluntary  Resignations. 

Certain  enrolled  midwives  have  resigned  volun- 
tarily on  the  ground  of  old  age,  ill-health,  or 
inability  to  comply  with  the  rules,  and  have  applied 
to  have  their  names  removed  from'the  Midwives' 
Roll. 

The  Board  have  instructed  that  their  names 
should  be  retained  in  the  Roll  with  a  special  mark 
in  order  that-  they  may  still  be  under  the  super- 
vision of  the  Local  Authority,  with  a  view  t© 
discontinuance  of  any  practice  whatever  under 
"  cover  "  of  a  medical  practitioner,  so  that  the 
recommendation  of  the  General  Medical  Council 
in  this  respect  may  be  given  full  effect. 

Maternity  and  Child  Welfare  Schemes. 

The  Board  has  bepn  consulted  in  regard  to  the 
position  of  Health  Visitors,  who  are  not  inspectors 
of  midwives,  attending  and  advising  in  the 
management  of  the  mother  or  infant  in  a  con- 
finement case,  where  there  is  a  certified  midwife 
in  attendance,  and  recommendations  have  been 
made  to  the  Supervising  Authorities  whereby 
full  co-operation  of  the  existing  organisations  is 
secured  for  the  benefit  of  the  mother  and  the 
child. 

THE    MIDWIVES*    (IRELAND)   ACT. 

At  the  recent  election  held  pursuant  to  thfe 
provisions  of  the  Midwives  (Ireland)  Act,  1918, 
the  following  four  registered  medical  practitioners 
were  elected  to  act  on  the  Central  Midwives  Board 
for  Ireland  : — Sir  Andrew  J.  Home,  Sir  William 
J.  Smyly,  Sir  John  William  Byers,  and  Professor 
Henry  Corby. 


[lOOMLo'llISiG 


WITH  WHICH  IS  INCORPORATED 

TME  MHHSIIKI  MECOMB 

EDITED  BY  MRS  BEDFORD  FENWICK 


No.  1,586. 


SATURDAY,  AUGUST   24,    1918. 


Vol.    LXI. 


EDITORIAL. 


THE   KINQS   VISIT  TO    FRANCE. 

The  King,  after  his  recent  visit  to  the 
Army  in  France,  in  the  course  of  a  letter 
addressed  to  Field-Marshal  Sir  Douglas 
Haig,  warmly  congratulating  him  and  the 
troops  that  have  fought  so  magnificently 
under  his  command  on  the  triumphant  issue 
of  the  recent  operations,  wrote  : — 

"  I  gratefully  recognise  that  this  high 
moral  is  in  part  the  outcome  of  a  hearty 
co-operation  between  the  fighting  Army 
and  the  great  organisations  behind  the  line  ; 
the  transport  service  by  land  and  sea  ;  and 
those  vast  industries  in  which  the  men  and 
women  at  home  maintain  the  supplies  of 
food  and  munitions  of  war. 

*'  It  was  a  pleasure  to  me  to  find  from 
the  admirable  condition  of  the  horses  and 
mules  of  the  various  units  I  inspected  that 
the  new  Armies  fully  uphold  our  national 
reputation  as  good  horse-masters. 

"  Of  the  hospitals,  their  efficiency,  skill, 
devotion,  and  untiring  efforts  of  the  staffs, 
I  cannot  speak  in  too  high  praise. 

"  I  realise  with  thankfulness  all  that  is 
done  for  the  spiritual  welfare  of  the  troops 
by  the  chaplains  of  the  different  denomina- 
tions. 

"  I  return  home  with  feelings  of  profound 
admiration  for  our  Armies,  convinced  that 
in  union  with  those  of  the  Allied  nations, 
we  shall,  with  God's  help,  secure  a  vic- 
torious peace  worthy  of  the  noble  sacrifices 
maiie ;  a  peace  which  must  be  a  surety  to 
coming  generations  against  sufferings  such 
as  the  present  world  has  endured  through- 
out these  years  of  relentless  war." 

His  Majesty  visited  several  hospitals  and 
casualty  clearing  stations  near  the  fighting 
line  and  his  visit  was  the  source  of  much 
pleasure  to  both  patients  and  staffs  of  these 
institutions. 


A     MINISTRY    OF     HEALTH. 

At  the  instance  of  the  Prime  Minister, 
the  National  Memorial  which  urged  the 
immediate  establishment  of  a  Ministry  of 
Health  as  an  urgent  war  measure  has  been 
laid  before  the  Committee  of  Home  Affairs. 
The  Home  Secretary,  in  a  communication 
to  Sir  Kingsley  Wood,  states  that  the 
Committee  have  recently  been  considering 
the  details  of  the  scheme,  and  that  the 
object  of  the  Committee  is  to  provide  for 
the  establishment  of  a  Ministry  with  as 
complete  powers  as  possible. 

The  President  of  the  Local  Government 
Board,  who  is  a  member  of  the  Committee, 
has  also  announced  that  the  Committee  are 
about  to  conclude  their  deliberations, 
and  that  the  scheme  is  practically  com- 
pleted. 

It  is  expected  that  the  Bill  will  be  intro- 
duced at  the  beginning  of  the  next  Parlia- 
mentary Session. 

No  class  of  the  community  realise  the 
necessity  for  a  Ministry  of  Health  more 
keenly  than  the  trained  nurses  in  the 
three  kingdoms,  whose  work  is  largely  con- 
cerned with  the  prevention  as  well  as  the 
cure  of  disease,  and  the  maintenance  of 
health.  Sir  Charles  Booth  in  his  "  Notes 
on  Social  Influences  "  in  the  last  volume 
of  "  Life  and  Labour  of  the  People  of 
London "  wrote  in  reference  to  district 
nursing,  "  It  is  almost  true  to  say  that 
wherever  a  nurse  enters,  the  standard  of 
life  is  raised  "  and  Dr.  Thomas,  at  the  last 
Conference  of  the  National  Union  of  Trained 
Nurses,  said  that  the  devoted,  unflinching, 
steady,  educational  pressure  of  the  L.C.C. 
School  Nurses  was  revealed  by  the  improv- 
ing figures  year  by  year,  even  in  war  time, 
when  the  chances  of  infection  are  multi- 
plied a  thousandfold  by  the  close  proximity 
of  the  hugger-mugger  life  of  trench  and 
camp  to  the  homes  of  the  people. 


122 


Jlbc  Brltteb  3ournal  of  •Rursme. 


August  24,   1918 


NURSING   AS  A   FIELD   OF   NATIONAL 
SERVICE. 


THE    UNITED     STATES    STUDENT     NURSE 
RESERVE. 

The  pamphlet  by  Miss  Isabel  M.  Stewart, 
R.N.,  M.A.,  Assistant  Professor  In  the 
Department  of  Nursing  and  Health  at 
Teachers'  College,  Columbia  University, 
U.S.A.,  on  the  above  subject,  is  a  personal 
message  from  the  Committee  on  Nursing, 
General  Medical  Board,  Council  of  National 
Defence,  Washington,  D.C.,  addressed  to  all 
young  women  of  America  who  are  well  educa- 
ted, physically  capable,  ahd  otherwise  able  to 
put  their  full  time  and  energy  into  some  definite 
form  of  national  service. 

The  pamphlet  is  in  support  of  the  Government 
call  for  25,000  young  women  between  the  ages 
of  19  and  35  to  join  the  United  States  Student 
Nurse  Reserve,  and  hold  themselves  in  readi- 
ness to  train  for  service  as  nurses,  and  has  been 
forwarded  to  us  by  the  courtesy  of  Dr.  Franklin 
Martin,  member  of  the  Advisory  Commission 
of  the  Medical  Section  of  the  Council  of 
National  Defence. 

In  a  recruiting  leaflet,  which  is  a  reprint  of 
matter  included  in  Miss  Stewart's  pamphlet, 
it  is  pointed  out  that  the  war  is  creating  an 
unprecedented  demand  for  trained  nurses. 
Only  those  who  have  taken  the  full  training 
course  are  eligible  for  service  with  the 
American  Forces  overseas.  Their  places  must 
be  filled  by  student  nurses  enrolled  for  the  full 
training  course.  Every  young  woman  who 
enrols  in  the  United  States  Student  Nurse 
Reserve  is  releasing  a  nurse  for  service  at  the 
Front,  and  swelling  the  home  army  which  must 
be  relied  on  to  act  as  the  second  line  of  hospital 
defence.  Upon  the  health  of  the  American 
people  will  depend  the  spirit  of  their  fighting 
forces. 

The  need  of  the  1,579  nurses'  training 
schools  in  the  United  States  is  as  great  and 
imperative  as  that  of  the  Army  School  of 
Nursing.  Those  who  enrol  for  these  schools 
will  be  assigned  as  vacancies  occur. 

The  enrolment  card  will  indicate  two  classes 
of  registrants — Preferred  and  Deferred.  The 
Preferred  class  will  be  those  ready  to  accept 
assignment  to  whatever  hospital  the  Govern- 
ment directs  them,  although  they  may  state 
what  tiaining  school  they  prefer  to  be  sent  to. 
I'he  Deferred  class  is  composed  of  those  w^ho 
limit  their  pledge  of  service,  i.e.,  who  will  not 
engage  to  go  except  to  certain  hospitals.  This 
class   is   intended  largely   for  those  who,    for 


family  reasons,  cannot  accept  training  at  a 
distance  from  their  homes.  Those  who  register 
in  the  Deferred  class  will  be  assigned  only  after 
the  Preferred  class  is  exhausted. 

The  Government  relies  on  the  patriotism  of 
those  who  enrol  to  fill  out  Preferred  cards  if 
they  possibly  can,  thus  volunteering  to  go 
where  they  are  most  needed. 

Nobody  will  be  assigned  to  any  schools 
whose  conditions  of  training  are  not  approved 
by  the  State  Board  of  Nurse  Examiners. 

After  stating  the  terms  of  training,  what  the 
training  course  prepares  for,  and  the  earning 
capacity  of  the  student  after  graduation,  as  well 
as  referring  to  the  honourable  nature  of  the 
nursing  profession,  the  recruiting  leaflet  con- 
cludes : — 

"  Enrol  at  the  nearest  recruiting  station 
established  by  the  Woman's  Committee  of  the 
Council  of  National  Defence." 

The  Committee  on  Nursing,  whose  message 
is  voiced  by  Miss  Stewart,  assume  at  the  out- 
set that  the  person  to  whom  it  is  addressed  is 
not  simply  a  dabbler,  or  a  sentimental  dreamer, 
but  a  serious,  practical,  patriotic  girl  or 
woman,  sincerely  anxious  to  throw  her  energies 
and  her  abilities  into  some  form  of  work  that  is 
really  going  to  count.  Her  brothers  and 
friends  have  been  called  into,  the  Army  and 
Navy,  and  are  now  getting  ready  for  a  long 
period  of  hard  and  dangerous  service  for  their 
country.  That  the  girl  is  just  as  ready  as  they 
are  to  give  up  her  own  personal  pleasures  and 
pursuits  and  accept  any  of  the  sacrifices  that 
may  be  called  for,  but  that  she  does  not  want 
to  squander  her  energy  and  waste  her  time 
in  futile  and  unproductive  forms  of  effort. 
That  she  wants  to  know  how  she  can  get  into 
a  real  job. 

Miss  Stewart  then  proceeds  to  show  what 
a  nurse  can  do  for  her  country^  the  need  of 
recruits  for  the  nursing  army,  the  importance 
of  thorough  training,  how  the  student  recruit 
helps  her  country,  what  the  training  of  the 
nurse  offers,  and  the  opportunities  for  service 
after  graduation.  She  closes  with  the  informa- 
tion already  referred  to  in  connection  with  the 
recruiting  leaflet. 

There  is  an  Appendix  of  Information  for 
College  Graduates  Desiring  to  enter  Schools 
of  Nursing.  A  special  three  months'  nursing- 
preparatory  course  is  offered  this  year  to 
graduates  of  recognized  colleges  at  Vassar 
College,  University  of  Cincinnati,  and  else- 
where, the  object  of  which  is  to  provide  an 
intensive  preliminary  training  in  subjects 
which  are  usually  taken  up  in  the  early  part  of 
the  hospital  training  course. 


August  24,  1918 


ITbc  Brtttsb  3ournal  of  IRurstng. 


"3 


THE  ROYAL  AIR  FORCE  NURSING 
SERVICE. 


It  is  fitting  that  the  Royal  Air  Force,  "  the  last 
creation  of  the  fighting  forces  of  the  world,"  should 
have  its  own  Nursing  Service,  which  will  build  up 
its  own  traditions. 

The  appointment  of  Miss  L.  E.  Jolley  as  Matron- 
in-Chief  of  the  Service  foreshadowed  its  develop- 
ment, and  Miss  Jolley  is  now  prepared  to  receive 
applications  from  nurses  who  desire  to  join  its 
ranks. 

The  rates  of  pay  are  as  follows  : — 

Staff  Nurses. — ;^40  per  annum,  rising  by  annual 
increments  of  j^2  los.  to  ;^45. 

Sisters. — ;^5o  per  annum,  rising  by  annual  incre- 
ments of  ;^5  to  ;^6o. 

Superintending  Sisters. — ;^6o  per  annum,  rising 
by  annual  increment  of  -^5  to  ^JS- 

Matrons. — ^j^  per  annum,  rising  by  annual 
increments  of  ;^io. 

There  is  no  provision  for  Assistant  Matrons,  but 
the  Superintending  Sisters  will  have  charge  of 
units. 

The  Nursing  Service  will  have  a  uniform  of  its 
own,  and  those  members  who  sign  on  for  the 
duration  of  the  war  will  receive  an  extra  bonus  of 
;6'2o  per  annum. 

xApplication  for  particulars  should  be  made,  in 
the  first  instance,  to  the  Secretary,  Air  Ministry, 
Strand,  VV.C.  2. 

The  Service  will  assuredly  be  a  popular  one,  for 
the  splendid  work  of  the  gallant  airmen  who  guard 
our  coasts,  and  keep  watch  over  the  safety  of  the 
metropolis  in  the  air,  that  lesser  folk  may  sleep 
securely,  commands  both  admiration  and  gratitude, 
and  the  privilege  of  serving  those  who  are  sick  or 
wounded  is  one  which  should  be  very  highly 
esteemed.  So  far  the  scope  of  the  Service  is  re- 
stricted to  the  United  Kingdom,  as  provision  is 
made  in  the  military  hospitals  abroad  for  the  recep- 
tion of  airmen  in  need  of  medical  and  nursing  care. 

THE    ROYAL    RED    CROSS. 

The  King  has  been  pleased  to  award  the  Royal 
Red  Cross  to  the  following  ladies  in  recognition  of 
their  valuable  services  in  con»ection  with  the 
\vc,r  : — 

Second  Class. 
Talbot,  Mrs.  K.  H.  E.,  Trained  Matron  and 
Gommdt.,  24th  Durham  V.A.  Hospl.,  Middleton  St. 
George,  Durham;  Taylor,  Mrs.  B.  D.,  Sister,  Ridley 
House  Hospl.,  Carlton  House  Terrace,  S.W.  ;  Taylor, 
Miss  D.,  Staff  Nurse,  Hooton  Pagnell  Hall  Aux.  Mil. 
Hospl.  (V.A.D.),  Doncaster;  Taylor,  Mrs.  M.  A.  J., 
Matron,  Belmont"  Aux.  Mil.  Hospl.,  Anfield,  Liverpool  ; 
Taylor,  Miss  M.  E.,  Sister,  T.F.N. S.,  ist  Eastern  Gen. 
Hospl.,  Cambridge;  Taylor,  Miss  N.  H.  R.,  Nurse,  The 
Norlands  Aux.  Hospl.,  Erdington,  Birmingham; 
Thomas,  Mrs.  A.,  Sister,  Highbury  Aux.  Hospl.,  Bir- 
mingham; Thomas,  Miss  G.  M.,  Sister-in-Charge, 
Temple  Road  Aux.  Mil.  Hospl.,  Birkenhead  Section, 
ist  West  Gen.  Hospl.  ;  Thompson,  Mrs.  A.  M.,  Sister, 
Northd.     War     Hospl.,     Gosforth,     Newcastle-on-Tyne ; 


Thompson,  Miss  B.  M.,  Sister,  T.F.N.S.,  1st  West 
Gen.  Hospl.,  Fazakerley,  Liverpool;  Thompson,  Mrs. 
L. ,  Matron,  The  Woodlands,  St.  John's  Aux.,  South- 
port;  TiMBRELL,  Miss  A.  M.,  Matron,  Lowestoft  and  N. 
Suffolk  Hospl.  ;  Tollemache,  Lady  W.,  Commdt.,  Peck- 
forton  Castle  and  Bunbury  Hospls.,  Ches.  ;  Topham, 
Miss  K.,  Sister,  T.F.N.S.,  Becketts  Park  2nd  Northern 
Gen.  Hospl.  ;  Tosh,  Miss  F.  M.,  Matron,  Q.A.LM.N.S. 
(ret.).  Mil.  Hospl.,  Sheerness ;  Townsend-Whitling, 
Mrs.  J.  G.  M.,  Matron,  Cottesbrook,  Northar^ts  Aux. 
Mil.  Hospl.  ;  Tracy,  Miss  M.,  Matron,  Sedgeley  Hall, 
Prestwich ;  Tuknbull,  Miss  J.  H.,  Matron,  Carrick 
House  Aux.   Hospl.,  Ayr. 

Verdin,  Miss  E.  G.,  Commdt.,  Winsford  Lodge  Aux. 
Hospl.,  Winsford,  Cheshire. 

Wake,  Miss  E.  E.  P.,  Matron,  Garswood  Hall  Hospl., 
W.  Lanes;  Walker,  Miss  A.,  Matron,  Didsbury  Lodge, 
Didsbury  ;  Walker,  Miss  A.,  Sister,  Red  Cross  Hospl., 
The  Chalet,   Hoylake  ;  Walker,  Miss  C,  Niirse,  Park- 
field,     Crumpsall ;     Walker,      Mrs.      P.,     Sister     i/c, 
Q.A.LM.N.S.  (ret.),  Post  Office  Hospl.,  20,  Kensington 
Palace    Gardens,    W.    8;    Walters,    Miss    H.,    Matron, 
Southport  Infirmary;  Walton,  Miss  B.,  Matron,  Shen- 
stone    House,    Higher    Broughton ;    Warrington,    Miss 
E.    M.,    Asst.    Nurse,    King   George's   Hospl.,    Stamford 
Street,  London,  S.E.  i  ;  Watt,  Miss  C,  Matron,  Wool- 
ton  Conv.   Institution,  West  Lanes  ;  Webb,  Miss  F.  A., 
Sister,     Q.A.I. M.N.S.R.,     Wharnecliffe     War     Hospl., 
Sheffield;  Weller,  Mrs.  E.  M.,  Sister,  Q.A.I. M.N.S.R., 
Frensham  Hill  Mil.    Hospl.,   Farnham,  Surrey;  Welli- 
come,  Miss  M.  A.  M.,  Matron,  Malmesbury  Red  Cross 
Hospl.,    Wiltshire;    Wellsted,    Miss    A.    M.,    Matron, 
T.F.N. S.,  5th  South.  Gen.  Hospl.,  Favvcett  Road  Sec, 
Portsmouth;  White,   Miss  A.   E.   N.,  Sister,  T.F.N. S., 
2nd  South.    Gen.   Hospl,   Bristol  R.    Infirmary,   Bristol; 
White,    Miss    E.,    Matron,    T. F.N. S.,    Cowley    Sec.    of 
3rd    South.    Gen.    Hospl.,    Oxford;    White,    Miss    M., 
Nursing  Sister,  Can.  Nursing  Service,  No.  11  Can.  Gen. 
Hospl.,  Moore  Barracks,  Shorncliffe  ;  Whitehead,  Miss 
E.   J.,   Sister,   Woodlands,  Wigan  ;  Whitting,   Miss  M. 
de   G.,    Sister   i/c,    Colliton    V.A.    Hospl.,    Dorchester; 
Wilding,    Miss   E.    A.,    Matron,    Rudyford,    Nelson,    E. 
Lanes;  Wilkinson,   Miss  M.   E.,  Nursing  Sister,   Can. 
Nursing    Service,    No.    15    Can.    Gen.    Hospl.,    Taplow, 
Bucks;   Williams,    Mrs.    E.,   Joint   Commdt.,    Aberdare 
and  Merthyr  Red  Cross  Hospl.,  Merthyr ;  Williamson, 
Miss  S.  A.,  Sister,  North 'd  War  Hospl.,  Gosforth,  New- 
castle-on-Tyne;  Willis,   Miss  E.,   Sister,  T.F.N. S.,  N. 
Evington    Mil.     Hospl.     (5th    North.     Gen.),    Leicester ; 
Wilson,  Miss  A.  M.,  Commdt.,  the  Red  Cross  Hospl., 
Melton,  Suffolk;  Wilson,  Mrs.   B.  M.,  Nursing  Sister, 
Can.   Nursing  Service,  No.   14  Can.  Gen.   Hospl.,  East- 
bourne; Winch,  Miss  M.  E.,  Sister,  Salisbury  and  Dist. 
Joint     Isolation     Hospl.,     Salisbury;    Windemer,     Miss 
M.    E.,    Freemasons'  War   Hospl.,   237,    Fulham   Road, 
Chelsea,    S.W.  ;   Wood,    Miss   A.    E.,   Sister,   T.F.N. S., 
3rd   West.    Gen.    Hospl.,    Cardiff;   Woodfin,    Miss   M., 
Sister,  Aux.   Mil.   Hospl.,   Moor  Park,   Preston;  Wood- 
ward,   Miss    M.,    Matron,    Aux.    Mil.    Hospl.,    Billinge 
Orrell,    near    Wigan;    Woolley,    Mrs.     F.     G.,     Hon. 
Matron,    Mil.     Hospl.,    Kingston-on-Thames;    Wright, 
Miss  L.,  Sister,  Q.A.I. M.N.S.R.,  Reading  War  Hospl., 
Reading;  Wynne,  Miss  E.  A.,  Matron,  R.  Berks  Hospl., 
Reading;    Wright,    Miss    M.    A.,    Sister,    N.Z.A.N.S.* 
No.  3  N.Z.  Hospl.,  Codford;  Wyld,  Miss  K.  M.,  Sister, 
Melksham   Red   Cross   Hospl.,   Wilts;  Wynn,   Miss   L., 
Sister,    Q.A.I. M.N.S.R.,  Mil.  Hospl.,  Bagthorpe,  Notts. 
Yapp,    Miss    C.    S.,    Matron,    Lake    Hospl.,    Ashtoni 
under-Lyne,     Lanes;     Young,     Miss     A.      P.,     Sister, 
Q.A.I. M.N.S.R.,     No.     i     Mil.     Hospl.,     Canterbury; 
Young,  MrS.  M.,  Sister,  Norfolk  and  Norwich  Hospl  , 
Norwich;  Younge,   Miss  C,   Sister,   N. Z.A.N. S.,   N.Z. 
Convalescent  Hospl.,   Hornchurch. 


134 


JLl)C  Britieb  3ournal  of  fluraing. 


August  24,  1918 


CARE    OF    THE    WOUNDED. 


The  Hotel  Petrograd,  North  Audley  Street,  W., 
has  been  procured  by  the  Office  of  Works,  on 
behalf  of  the  Wax  Office,  for  the  purpose  of  con- 
verting it  into  a  hospital  for  the  Canadian  Forces. 
The  hotel  is  of  modern  construction,  and  very 
Suitable  for  the  purpose  for  which  it  has  been 
acquired. 


of  her  sales  on  the  Flag  Day,  and  will  also  receive 
an  official  letter  of  thanks  from  the  Italian  Red 
Cross. 


It  is  announced  in  the  official  organ  of  the 
British  Red  Cross  Society  that  after  careful 
consideration  of  the  sites  available  in  the  royal 
parks  for  the  hospital  which  is  to  be  presented 
to  the  American  Red  Cross  by  the  Joint  War 
Committee  of  the  British  Red  Cross  Society  and 
the  Order  of  St.  John,  the  one  finally  selected  is  in 
Richmond  Park.  The  original  intention  was  to 
place  the  hospital  in  Windsor  Great  Park,  and 
His  Majesty  the  King  had  graciously  consented  to 
give  a  site  in  that  park  for  the  purpose,  but  it 
was  found  impossible  to  carry  out  this  intention, 
owing  to  difficulties  of  drainage,  clay,  soil,  &c. 
The  site  which  has  now  been  selected  in  Richmond 
Park  is  pronounced  by  the  War  Office  and  other 
experts  to  be  satisfactory  in  every  way.  It 
stands  high  ;  it  is  on  gravel  soil ;  water,  gas,  and 
electric  light  are  easily  procurable ;  and  it  is 
within  a  mile  of  two  stations  on  the  main  line 
from  Southampton.  The  Office  of  Works  has 
undertaken  the  construction,  the  necessary  funds 
being  provided  by  the  Joint  War  Committee. 
Work  will  begin  at  once,  and  it  is  hoped  that  a 
hospital  may  be  provided  within  the  next  few 
months  which  will  be  worthy  of  the  acceptance 
of  the  American  Red  Cross  and  of  the  American 
sick  and  wounded  for  whom  it  is  intended. 


General  Humbert,  in  command  of  the  Third 
French  Army,  has  conferred  upon  Section  2  of 
the  British  Ambulance  Committee  the  rare 
distinction  of  the  Croix  de  Guerre  with  Palm. 

In  a  despatch  of  July  3rd  the  General  wrote  : 
"  Attached  to  the  division  since  January,  1917, 
the  Section  has,  under  the  orders  of  it^  command- 
ant, aroused  universal  admiration,  especially 
during  the  operations  from  June  gth  to  13th,  1918 
(at  Ribecourt).  In  spite  o*  the  fact  that  several 
of  the  ambulances  were  injured  by  the  bombard- 
ment, the  work  o^^  evacuating  the  wounded  never 
ceased,  the  cars  continuing  to  fetch  the  wounded 
from  the  most  advanced  and  dangerous  posts, 
close  to  the  enemy." 

The  distinction  can  only  be  awarded  by  a 
general  in  command  of  an  army.  The  Section 
are  entitled  to  paint  it  on  their  ambulances. 


It  is  also  announced  that  a  new  problem  in 
hospital  work  was  presented  to  the  American 
Red  Cross  in  Great  Britain  recently  by  the  large 
number  of  small  camps  of  American  soldiers, 
particularly  aviators,  which  have  been  opened  in 
various  parts  of  the  British  Isles.  These  camps  are 
too  small  to  require  the  installation  of  a  large 
hospital,  but  there  are  frequent  cases  of  illness  or 
accident,  and  the  camps  are  generally  situated  at 
points  far  distant  from  the  regular  military 
hospitals.  The  problem  has  been  met  by  the 
establishment  in  each  camp  of  a  small  "  tent 
hospital,"  where  American  soldiers  suffering  from 
minor  ailments  can  be  cared  for  satisfactorily. 
More  than  fifty  of  these  tent  hospitals  have  been 
set  up  in  various  small  American  camps  during 
the  past  few  weeks,  each  accommodating  from 
four  to  ten  patients. 

The  Italian  Red  Cross  Committee,  2,  Albemarle 
Street,  Piccadilly,  W.  i,  is  extremely  anxious  to 
secure  names  of  ladies  who  will  be  willing  either 
to  take  charge  of  dep6ts  or  to  act  as  .sellers  on 
the  Flag  Day  on  September  25th.  Each  seller 
will  be  subsequently  notified  as  to  the  amount 


The  public  will  learn  with  relief  that  our  hospitals 
at  the  Front  have  been  placed  some  distance  from 
the  fighting  units.  They  are  clearly  marked,  and, 
of  course,  when  bombed  were  intentionally 
attacked.  By-the-bye,  we  hear  that  the  German 
aviation  officer  who  was  taken  prisoner  after  the 
wholesale  slaughter  at  Etaples  and  warded, 
demanded  to  be  at  once  taken  to  a  place  of  safety, 
and  hysterically  resented  the  chance  of  death  at 
the  hands  of  his  cowa,rdly  compatriots  ! 


IN    GRATEFUL    MEMORY. 

A  vase  of  red,  pink,  and  mauve  carnations,  and 
spikes  of  red  and  white  gladioli,  with  delicate  green 
fern  fronds,  before  the  War  Shrine  in  Hyde  Park, 
on  Saturday  last,  attracted  considerable  attention. 
Attached  to  the  flowers,  by  a  ribbon  of  the  national 
colours,  was  a  black-edged  card  bearing  in  Queen 
Alexandra's  handwriting  the  words  :  "In  grateful 
memory  to  our  brave  and  splendid  soldiers  who 
gave  their  lives  for  King  and  country.  God  bless 
them  all. — From  Alexandra." 


OUR   ROLL    OF   HONOUR. 

nursing  service. 

Died. 

We  regret  to  record  the  following  death  in  the 
Nursing  Service. 

Kemp,  Staff  Nurse  C.  M.  F.,  Q.A.I.M.N.S.R. 


WEDDINQ     BELLS. 

A  marriage  has  been  arranged,  and  will  very 
shortly  take  place,  between  the  Rev.  George 
Berens-Dcwdeswell,  Rector  of  Foot's  Cray,  Kent, 
and  Miss  Eveleen  M.  Hunter,  Matron  of  the  Cray 
Valley  Hospital,  St.  Mary  Cray.  We  wish  them 
every  happiness. 


August  24, 1918  ^be  Brlti0b  3ournal  of  IRursinfl. 


125 


THE  SCHOOL  NURSE. 

One  of  the  most  interesting  and  important 
developments  of  civic  and  social  service  in  con- 
nection with  nursing  is  that  of  the  work  of  the 
School  Aurse,  ano  no  one  is  better  able  to 
"  survey  the  duties  and  responsibilities  of  the 
nurse  in  the  maintenance  of  health  and 
physical  perfection,  and  in  the  prevention  of 
disease  among  school  children,"  than  Mrs. 
Struthers,  R.N.,  who,  as  Miss  Lina  Rogers, 
was  Superintendent  of  School  Nurses,  first  in 
New  York  City,  and  afterwards  at  Toronto. 

In  a  book  bearing  the  name  of  "  The  School 
Nurse,"  published  by  Messrs.  G.  P.  Putnam's 
Sons,  24,  Bedford  Street,  Strand,  London, 
W.C.,  price  9s.  net,  Mrs.  Struthers  deals  with 
many  aspects  of  school  nursing  from  the  point 
of  view  of  the  expert.  As  she  herself  tells  us 
in  her  preface,  "  school  nursing  is  still  in  its 
infancy,  and  many  changes  in  methods  are  to 
be  expected,  but  the  underlying  essentials — 
child  love  and  preservation  of  child  health — 
will  exist  as  long  as  child  life." 

"It  is,"  says  Mrs.  Struthers,  "  very  gener- 
ally believed  that  so-called  medical  inspection 
of  schools,  or,  more  properly  speaking,  health 
supervision  of  school  children,  is  of  recent 
origin  ;  that  it  is,  in  fact,  one  of  the  progressive 
measures  of  this  century — an  outcome  of  the 
newly  aroused  social  conscience.  Neverthe- 
less, medical  inspection  of  schools  dates  back 
to  the  palmy  days  of  the  ancient  Greeks  and 
Romans.  Under  these  ancient  and  warlike 
people,  the  State  trained,  educated,  and 
developed  the  child  for  his  place  in  life.  With 
them,  however,  the  chi'd  was  first  the  child  of 
the  State,  and  secondly  the  child  of  his  parents, 
and  to  the  State  his  physical  training  was  more 
important  than  his  mental  training,  because  the 
chief  duty  of  the  State  was  to  prepare  the  man 
for  war. ' ' 

The  Policy  of  Exclusion. 

Mrs.  Struthers  traces  the  successive  steps 
in  connection  with  the  medidkl  supervision  of 
schools  and  school  children  of  recent  years. 
In  the  nineteenth  century  this  only  meant 
exclusion  from  school  for  communicable  or 
loathsome  diseases,  and  but  little  attention 
was  paid  to  the  child  after  exclusion.  In  most 
instances  the  parents  failed,  through  ignor- 
ance, to  obtain  the  necessary  treatment,  and 
he  was  even  allowed  to  play  on  the  street  with 
other  children  after  school  hours,  thereby 
making  of  no  avail  the  first  act  of  exclusion. 

The  Policy  of  Cure. 
"  The  advent  of  the  school  nurse  brought  a 
radical  change  in  the  methods  of  dealing  with 


diseased  children.  Instead  of  being  excluded 
and  neglected  they  were  treated  by  the  school 
nurse.  Many  cases  were  treated  in  the  schools 
without  danger  of  contagion  to  other  children. 
The  nurse  visited  the  homes,  pointed  out  to 
parents  the  dangers  of  such  maladies,  and 
specially  interested  the  mother  in  getting  the 
children  well.  The  trained,  and  let  us  add 
the  kindly  arid  diplomatic,  nurse  became  the 
guide,  philosopher,  and  friend  of  the  family. 
The  school  nurse  who  fails  to  get  into  intimate 
touch  with  the  family  must  confess  she  has 
failed  in  her  first  mission.  As  a  result  of  the. 
nurse's  work,  school  attendance  increased  fifty 
per  cent.  Interested  and  regular  attendance 
took  the  place  of  exclusion  and  truancy." 

The  Policy  of  Prevention. 

"  During  the  last  ten  years  the  important 
outcome  of  the  school  health  work  has  been 
the  emphasis  placed  uj>on  a  policy  of  preven- 
tion. It  is  just  the  old  story  that  prevention 
is  better  than  cure ;  that  education  is  better 
than  reformation.  ...  At  the  present  time, 
therefore,  health  education  is  the  fundamental 
basis  of  all  school  health  work.  To  cure 
disease  or  remove  physical  defect  is  a  neces- 
sary but  incidental  part  of  the  work.  The 
factors  of  greatest  importance  to  the  child's 
future  welfare  are  wholesome  food,  proper 
clothing,  personal  cleanliness,  physical  drill 
and  play,  and  plenty  of  fresh  air  in  school  and 
home.  Unfortunately  many  have  been  slow  to 
recognize  that  this  last  policy  should  ,be  the 
primary  function  of  the  school  in  health  work." 

Mrs.  Struthers  gives  the  history  of  the 
development  of  school  nursing  both  in  America 
and  in  this  country.  She  details  the  organiza- 
tion of  a  system  of  health  supervision  of  school 
children,  and  gives  suggestive  rules. 

A  very  interesting  section  is  the  description 
of  the  little  mothers'  classes  and  school,  and  of 
baby  clinics,  organized  for  the  purpose  of 
teaching  little  girls  with  younger  brothers  and 
sisters  how  to  take  care  of  their  charges. 
Admirable  illustrations  show  these  little 
mothers  as  interested  audiences  at  demonstra- 
tions of  bedmaking,  of  the  baby's  bath,  and  of 
putting  baby  to  bed.  Considerable  space  is 
devoted  to  the  Forest  School  at  Toronto,  and 
the  uselessness  of  trying  to  cram  a  child's  head 
full  of  knowledge  when  the  body  is  enfeebled, 
poorly  nourished,  or  sick,  is  emphasised. 

A  study  of  Mrs.  Struthers'  lucid  and  in- 
teresting exposition  of  the  purpose  of  school 
nursing  should  do  much  to  create  a  sym- 
pathetic understanding  of  the  needs  of  school 
children  and  of  the  high  value  in  the  body 
politic  of  the  work  of  school  nurses. 


136 


ZTbe  Britteb  3ournal  of  IRureina. 


August  24,  1918 


Ropal  BritlsD  nurses'  Ussociatioti. 


(Incorporated  bp 


|\  Ropal  CDarten) 


THIS   SUPPLEMENT   BEING   THE    OFFICIAL    ORGAN    OF    THE    CORPORATION. 


COMPOUND    FRACTURES    OF    THE 
HUMERUS. 

PART  I— SPLINTS. 

BY  Miss  M.   C,   SiNZiNiNEX,   A.R.R.C 
Diploma  of  the  Royal  British  Nurses'  A  ssociation  ; 
Matron  of  Queen  Alexandra' s  Hospital  for  Officers. 

The  aim  in  cases  of  compound  fractures  of  the 
humerus  is  to  get  the  arm  into  a  comfortable 
position  with  the  ends  of 
the  bone  in  apposition 
by  means  of  a  splint,  the 
arrangment  of  which 
must  give  free  acccess  to 
the  wound  for  purposes  of 
dressing  and  drainage, 
and  at  the  same  time 
enable  the  patient  to  be 
nursed  and  to  move 
about  in  bed  in  comfort. 

At  Queen  Alexandra's 
Hospital,  Highgate,  a 
great  number  of  very 
badly  fractured  humeri 
have  been  successfully 
treated.  In  many  of 
these  cases  the  bone 
has  been  so  badly  shat- 
tered that  months  (and 
in  some  cases  a  year) 
have  elapsed  before  all 
the  dead  bone  has  come 
away,  and  until  this  has 
taken  place  the  wounds 
will  not  heal  satis- 
factorily nor  will  the 
fracture  firmly  set.  The 
wounds  are  usually  kept 
open  by  means  of  drainage 
tubes,  as  there  is  always 
sepsis  where  there  is  dead 

bone.  Mr.  Herbert  Paterson  (the  surgeon-in- 
charge)  has  brought  out  a  very  good  splint  for  use 
in  fractures  of  the  humerus  or  elbow  joint,  and  it 
has  been  in  use  at  Highgate  for  over  three  years. 
It  is  based  on  the  Thomas's  principle  of  extension, 
but  the  forearm  is  held  at  right  angles  to-  the 
upper   arm,   instead   of  being   out  straight,    the 


Fia.  I.— PATERSON'S  SPLINT  FOR  FRACTURE 
OF  HUMERUS  OR  ELBOW  JOINT. 


former  position  being  much  more  comfortable  for 
the  patient,  A  padded  ring  fits  round  the  top  of 
the  humerus,  and  is  pressed  well  up  into  the 
axilla,  two  bars  are  carried  down  from  either  side 
of  this  ring,  parallel  to  the  upper  arm,  and  are 
joined  by  a  cross  piece  below  the  elbow.  About 
half-way  down  the  inner  bar  is  a  space  arranged 
for  the  forearm  by  dropping  the  bar  for  the 
distance  of  4  in.  to  5  in.,  thus  H  P  From 
this  dropped  piece  two  bars  extend  at  right  angles 
and  between  them  the 
forearm  rests,  this  also  is 
joined  under  the  wrist 
by  a  cross-bar  to  which 
a  movable  hand  piece  is 
attached.  This  is  fastened 
on  by  means  of  a  screw 
and  can  be  raised  or 
lowered  at  will.  It  is 
usually  kept  raised  so  as 
to  prevent  wrist-drop, 
but  it  can  be  lowered 
right  down  for  purposes 
of  movements  and  mas- 
sage to  hand  and  wrist. 

In  the  case  of  a  com» 
pound  fracture,  the 
method  of  extension  is 
always  a  dif&culty,  as  so 
often  the  wounds  occur 
just  where  the  pull  is 
most  needed.  When  it 
has  been  impossible  to 
put  an  extension  on  the 
upper  arm,  a  very  good 
pull  has  been  maintained 
by  an  extension  round 
the  forearm  to  the  lower 
part  of  the  splint  below 
elbow  but  on  the  side 
nearer  hand  (see  fig.  i, 
A.).  When  this  method 
of  extension  is  employed  the  wTist  must  be 
fixed  by  means  of  a  firm  bandage  or  buckle 
and  strap  to  the  upper  bar  of  forearm  piece 
at  B.,  until  such  time  as  an  extension  can 
be  put  on  the  upper  arm.  Various  armlets,  to 
fit  on  part  of  the  upper  arm  and  part  of  the  forearm 
have  been  devised,  but  nothing  has  been  found 


August  24,  1918 


Zbc  British  3ournal  of  IRurslno, 


127 


to  be  so  satisfactory  as  the  old-fashioned  stirrup 
made  of  strapping  with  block  and  cord.  Armlets, 
however  tightly  laced,  seem  to  have  a  way  of 
slipping,  and  when  tightJy  faslert d  Ihey  cut  inlo 
the  bend  of  the  elbow  and  also  impede  the  circula- 
tion of  the  forearm. 

Even  with  a  good  pull  from  the  axilla  to  the 
end  of  the  splint,  supports  are  necessary  at 
intervals  under  the  arm  from  the  axilla  to  the 
elbow.  The  most  suitable  material  for  this 
purpose  is  rubber,  as  it  can  be  easily  cleansed 
and  boiled  when  it  comes  in  contact  with  discharges 
from  the  wounds.  Old  inner  tubes  of  motor 
tyres,  cut  to  the  required  size,  are  cheap,  strong 
and  serve  the  purpose  well.  These  supports  used 
to  be  held  in  place  by  very  strong  spring  letter 
clips  ;  but  as  time  progressed,  these  became 
unobtainable  and  safety-pins  were  used,  the 
difficulty  in  pushing  these  through  the  tough 
rubber  resulted  in  more  than  one  pricked  and 
septic  finger.  Then 
studs  (fig.  I,  C.) 
were  made  all  down 
the  bars  on  the  new 
splints  on  which  to 
fasten  the  rubbers. 
The  rubber  is 
nicked  with  a  sharp 
knife  in  two  or 
three  places  and 
pressed  over  the 
studs  on  the  inner 
bar  of  the  splint  ; 
then  it  is  brought 
under  the  arm  and 
over  the  outer  bar 
between  the  splint 
and  the  arm,  drawn 
up  to  the  requisite 
tightness,  nicked 
again  where  the 
studs  indicate  by 
bulging  through 
the  rubber,  and 
slipped  over  them, 
the  elasticity  of 
the  tyre  securing.it.  The  studs  are  made  thinner 
at  the  part  nearer  the  splint  to  prevent  the  rubber 
slipping  over  and  coming  o|f.  By  this  means 
the  rubbers  can  be  taken  on  and  off  with  perfect 
ease  when  once  the  holes  have  been  made.  For 
drv:ssing  purposes  only  one  side  of  the  rubber  need 
be  detached  from  the  studs.  If  several  rubbers 
have  to  be  used,  it  is  wise  to  move  only  one  at  a 
time,  as  if  too  much  support  be  taken  away  at 
once  the  fracture  may  sag  and  get  out  of  position 
and  also  cause  great  pain  to  the  patient. 

The  cords  of  the  extension  are  passed  through 
a  screw  pulley,  which  hooks  over  the  cross  bar 
at  D.  in  fig.  i.  This  can  be  loosened  or  tightened 
by  means  of  a  key. 

This  splint  can  be  worn  by  a.  patient  who  is 
able  to  walk  about,  the  weight  being  supported 
by   an  ordinary   arm  sling.     When  the  fracture 


FIQ.  2. 


-FRACTURE   BED 
FOR   SLINGING 


has  set  firmly,  the  arm  is  either  put  on  a  straight 
upper  arm  splint  or  put  in  plaster,  the  latter 
method  being  used  where  there  has  been  great 
loss  of  bone. 

This  splint  is  slung  by  means  of  cords,  pulleys 
and  weights  (sufficient  to  balance  the  arm)  to  a 
bar  crossing  the  patient's  bed  (see  fig.  II).  By 
this  means  the  patient  is  able  to  move  about  in 
bed  quite  easily  and  can  balance  the  arm  himself 
at  any  height  that  is  most  comfortable.  These 
fracture  beds  are  fitted  with  two  bars,  so  that 
either  a  left  or  right  arm  or  leg,  or  both,  may  be 
slung,  the  bars  also  providing  an  attachment 
to  which  the  flask  of  lotion  may  be  hung. 

DONATIONS    RECEIVED. 

The  Honorar\'^  Treasurer  acknowledges  with 
thanks  donations  from  the  following: — 

Misses  A.  E.  and  E.  A.  Boldero,  15s.  ;    Miss 
A.  E.  Billet,  5s.  ;  Miss  Cruickshank,  2s.  6d.  ;   Mrs. 

Allan  Robert-son 
2s.  6d.  ;  Miss  A. 
Brentans  is.  ;  Miss 
B.  Carter,  is.  ;  Miss 
E.  Cowlan,  is.  ; 
Miss  M.  Ellis,  is.  ; 
Miss  M.  Lawford, 
IS.  ;  Miss  M.  Little- 
dale,  IS.  ;  Miss  L. 
Pettigrew,  IS.  ;  Miss 
K.  Rushton,  is.  ,• 
Mi33E.  Stan  den.  is. 

THE  THANKS  OF 
THE  MAYOR  OF 
BIARRITZ  TO  AN 
ENGLISH  NURSE. 

Miss  Constance 
Clarke,  m.r.b.n.a., 
Matron  of  an 
American  Hospital 
at  Biarritz,  has  re- 
ceived a  letter  from 
Senator  Forsan, 
Mayor  of-  Biarritz, 
thanking-  her  ■  for 
the  "  enlightened  zeal  "  with  which  she  has  accom- 
plished the  administrative  work  of  the  hospital,  and 
conveying-  an  expression  of  gratitude  from  the 
municipality  of  that  town  for  the  long  months . 
during  which  she  has  devotedly  served  the  cause 
of  humanity. 

OBITUARY. 

.It  is  with  regret  that  we  have  to  report  the  death 
of  Miss  Mary  Frost. 

Miss  Frost  was  trained  at  University  College 
Hospital,  and  was  for  a  considerable  number  of 
years  on  the  staff  of  Great  Ormond  Street  Hospital 
for  Children.  For  many  years  she  has  been  an 
inmate  of  the  Princess  Christian  Settlement  Home. 

(Signed)   ,  Isabel  Macdonald, 

Secretary  to  the  Corporation. 


,   SHOWING  DOUBLE  BARS 
ARMS  AND  LEGS. 


izB 


Zbe  Britieb  Journal  of  IRuretna; 


August  24,  1918 


A  SUPREME  MOMENT. 


Work  was  heavy  and  hands  were  few  in  a  pro- 
vincial hospital  where  I  had  gone  to  take  tem- 
porary duty  for  three  months  ;  in  a  wcrd,  we  were 
understaffed.  I  was  at  once  the  Night  Nurse  and 
Night  Sister  on  the  male  side  of  the  hospital. 
Accidents  I  also  had  to  admit,  there  being  no  night 
porter,  and,  if  necessa.ry,  prepare  the  theatre  for 
operations. 

There  was  the  usual,  busy,  ra,pid  routine  of 
hospital  work,  only  ra^ther  more  so  than  usua-lly 
falls  to  the  lot  of  one  nurse.  L  had  no  time  to  sit 
still  and  think  enviously  of  those  who  were 
spending  the  night  in  the  conventional  way,  a.nd 
deplore  the  anomaly  of  night  nuirsing-  I  wa.s,"at 
any  ra.te,  spared  the  insidious  tempta-tion  of 
sleepiness,  which,  in  spite  of  the  sust?.ining  cup  of 
tea,  will  assail  the  tired  Night  Nurse  if  she  has  not 
much  to  do.  "  Nurse,  will  you  get  the  isola.tion 
ward  ready  at  once,  please  for  a.  bad  ca.se  of 
diphtheria — a  boy,  seven  yeajrs  eld — tracheotomy 
will  be  performed  in  the  wajd  directly  he  a.rrives,  in 
about  an  hour's  time,  and — will  you  take  the 
case  ?  " 

It  was  the  house  surgeon  who  spoke. 

I  replied  in  the  affirmative,  and  then  asked 
tentatively  how  my  work  was  to  be  done.  The 
best  arrangement  possible,  under  the  circum- 
stances, was  made,  a.nd  I  was  left  free  for  my  new 
and  responsible  duty.  There  is  no  such  thing  really 
as  monotony  in  hospital  life — tha,t  word  should 
never  find  a  place  in  a  nurse's  vocabulary,  it 
savours  of  lack  of  imagination  and  sympathy  on 
her  part,  who  would  do  well  to  remember  that 
what  is  an  "  interesting  case "  to  her,  spells 
something  very  different  to  the  object  of  her 
interest. 

Nevertheless,  an  emergency  case  is  the  trained 
nurse's  opportunity  and  should  not  be  discounted. 
But  this  in  parenthesis. 

To  get  the  fire  lit,  bed  made,  tent  erected,  kettle 
half  filled  with  boiling  water  and  put  in  motion, 
and  to  make  preparations  necessajy  for  the  opera.- 
tion  and  for  the  nursing  of  such  a  case  did  not  take 
very  long. 

One  gla.nce  at  the  poor  little  sufferer  convinced 
me  tha.t  it  wa.s  p.  very  bad  case ;  the  child  was  in 
extremis,  semi-suffocated  by  the  cruel  disease  so 
often  chajacterised  by  the  appearance  of  mem- 
brane of  a  more  or  less  glutinous  nature  which 
attacks,  and  adheres  to,  the  throa.t  and  nasal 
passages 

The  Surgeon  arrived  a.lmost  simultaneously,  and 
the  operation  was  performed  at  once.  The 
immediate  result  of  the  incision  into  the  trachea 
was  a  rush  of  confined  air,  and  with  it  a  splutter 
of  mucus.  The  relief  was  instantaneus,  and  the 
look  of  strain  and  suffering  on  the  little  face  was 
replaced  by  one  of  comparative  comfort  and  ease. 
Johnny,  however,  was  in  a  critical  condition,  and  I 
watched  him  anxiously  for  eighteen  hours,  keeping 
the  tube  clear  and  giving  constant  nourishment, 
disinfecting  and  cleansing  the  throat,  &c. 


For  tha.t  and  the  two  following  nights  he  did 
fairly  well,  and  so  I  believed  and  hoped  he  would 
wea,ther  the  storm.  On  the  third  night,  or  fourth 
-7-1  cannot  cleajly  remember — a,ll  went  well  for 
the  first  few  hours,  his  breathing  and  his  strength 
well  maintained.  Suddenly,  without  any  wammg 
a.t  all,  there  appeared  to  be  an  interruption  in  the 
brea,thing  of  a  very  serious  nature,  and  poor  little 
Johnny  was  threa.tened  with  suffocation,  due  to 
the  fact  that  a  piece  of  membranous  matter  had 
become  dislodged,  and  wa.s  blocking  the  trachea 
below  the  tube;  As  long  a.s  I  live  I  shall  never 
forget  that  poor  child's  face  ;  it  wa.s  transfigured  ; 
his  eyes,  big  with  terror,  were  turned  to  me  in 
agonised  mute  appeal,  while  he  clenched  his  fists 
and  kicked  out  his  legs  with  the  force  of  impotent 
frenzy.  It  was  obvious  that  removing  the  tube 
would  be  of  no  ava.il,  the  tube  was  clear. 

For  a  moment  my  own  helplessness  was  borne 
upon  my  mind  with  sickening  dread.'  Must 
I  watch  the  poor  little  fellow  die  !  There  was 
only  one  thing  to  be  done,  and  if  that  failed 
nothing  could  save  him — artificial  respiration. 
I  took  the  arms  and  brought  them  above  the 
head  ;  in  bringing  them  down  to  the  sides,  I 
pressed  against  the  ribs  to  force  the  obstruction 
upwards  if  possible.  Hearing  a.  nurse  pass  the 
door,  I  asked  her  to  call  up  the  house  surgeon 
at  once  ;    he  appeared  immediately. 

"  I  can  do  nothing  more  than  you  are  doing 
yourself,"  he  said,  and — unwilling,  I  suppose, 
to  watch  what  seemed  to  be  inevitable — he,  half- 
reluctantly,  left  the  ward.  Time  cannot  be 
measured  in  such  supreme  moments  of  life  ;  it 
materialises  to  the  overwrought  brain  and  merges 
into  tangible  torture.  Obviously,  no  length  of 
time  can  elapse  in  a  case  like  this.  After  the 
house  surgeon  had  left  the  ward,  the  child  became 
slightly  easier  •  soon  he  began  to  cough  and 
I  caught  sight  of  something  appearing  at  the 
mouth  of  the  tube  and  was  just  about  to  seize  it 
with  the  forceps,  holding  my  own  breath  in  the 
extremity  of  my  suspense,  when,  with  inspiration, 
it  disappeared  down  the  tube  again.  However 
the  worst  was  over  and  the  child  could  draw  his. 
breath.  I  waited  anxiously  with  forceps  in  hand, 
watching  the  tube  as  a  cat  watches  a  mouse-hole, 
with  a  wildly-beating  heart.  Another  cough  and 
I  had  caught  the  thing,  the  cruel  thing  that  had 
nearly  cost  my  little  patient  his  life.  A  large 
thick  glutinous  piece  of  deadly  membrane.  No 
sooner  had  the  obstruction  been  removed  than 
the  child  closed  his  eyes,  breathed  easily  and 
slept  with  all  the  anguish  that  had  distorted  his 
face  gone.  I  looked  at  the  sleeping  boy  and 
then  at  the  thing  I  held  in  the  forceps,  and  my 
eyes  filled  with  tears — ^tears  of  joy — as  the  tension 
of  my  brain  was  relaxed  and  I  realized  that  my 
efforts  to  save  the  child's  life, had,  under)  God, 
not  been  in  vain.  I  put  it  into  a  bottle  containir  g 
methylated  spirit,  I  held  it  up  to  the  light  and 
looked  at  it  again  with — oh  !  what  different 
feelings.  It  was  in  the  right  place  now,  not  in 
the  wrong — that  made  all  the  difference.  Now 
it  was  a  bacteriological  specimen  !     I  looked  at  it 


August  24, 1918         (jbe  Brtttfib  Sournal  of  IRuremo. 


I29i 


again,  almost  with  affection,  for  had  it  not  nega- 
tively saved  my  little  patient's  life  ?  The  house 
Surgeon  returned  just  at  the  moment  of  my 
triumph  ;  he  was  surprised  to  find  the  child 
sleeping  and  breathing  normally.  I  held  the 
little  bottle  up  to  him  with  a  triumphant  smile  ; 
he  understood  and  gave  an  answering  smile  and 
went  back  to  bed.  Easy  respiration  was  estab- 
lished after  that,  and  there  was  no  recurrence 
of  the  impediment.  _      Beatrice  Kent. 


NURSES'     REGISTRATION    ACT    IN 
BRITISH    COLUMBIA. 

It  is  with  pleasure  we  record  that  the  Graduate 
Nurses'  Associat'on  of  British  Columbia  have 
secured  the  passage  of  their  Nurses'  Registration 
Bill.  Hearty  congratulations.  In  this  connection 
Miss  H.  L.  Randa^,  Editor  of  the  Canadian 
Nurse,  in  a  letter  to  Miss  Beatrice  Kent,  writes  : 
"  I  feel  very  strongly  that  we  should  give  all  the 
help  we  can  to  your  efforts  to  secure  Registration 
of  Nurses,  as  we  have  it  over  here — a  matter  for 
the  nurses  alone  and  not  of  the  laity.  We  have 
in  British  Columbia  just  got  our  Provincial  Act 
passed  after  six  years  of  work.  Then,  when  all 
Provinces  have  their  own  Acts,  we  can  formulate 
one  Dominion  Act  with  a -very  good  chance  of 
passing  it,  particularly  as  we  have  Dominion 
franchise." 


APPOINTMENTS. 

MATRON. 

County  Hospital,  Ayr. — Miss  I.  M.  Crichton, 
who  has  been  appointed  Matron  of  the  County 
Hospital,  Ayr,  sends  us  the  following  details  of 
her  professional  career.  She  was  trained  at 
Chalmers'  Hospital,  Edinburgh ;  was  Charge 
Nurse  at  the  Victoria  Infirmary,  Glasgow  ;  and 
Theatre  and  X-Ray  Sister,  Hovsekeeper  and 
Assistant  Matron  at  Chalmers'  Hospital.  She 
has  not  held  appointments  at  the  West  Kent 
Hospital,  or  the  Edmonton  General  Hospital. 

SISTER. 

General  Hospital,  Nottingham.  —  Miss  Alice 
Russell  has  been  appointed  Sister.  She  was 
trained  at  the  Infirmary,  East  Dulwich  Grove,  and 
has  been  Sister  in  a  Women's  Surgical  Ward  at 
the  Royal  West  Sussex  Hospital,  Chichester. 


PRESENTATION. 

At  the  Central  Military  Hospital,  Fulford, 
York,  on  August  13th,  Miss  Kathleen  Holmes, 
the  retiring  Matron,  who  is  to  resume  nursing 
on  the  Western  Front,  was  presented  with  a  tea 
service  on  salver,  a  rose  vase,  a  button-hook,  and 
a  shoe  lifter,  all  in  solid  silver,  the  gifts  of  the 
nursing  and  medical  staff  of  the  hospital  and 
the  annexe  at  Haxby  Road.  Another  gift  from 
the  annexe  took  the  form  of  a  piece  of  china 
beautifully  designed  to  represent  a  wounded 
soldier.     At  the  base  was  one  word,  "  Blighty." 


NURSING    ECHOES. 


An  urgent  appeal  is  made  in  the  current,  issue 
pf  the  Queen's  Nurses'  Magazine  to  all  who  are 
interested  in  its  continuance.  Owing  to  the 
war,,  and  the  large  number  of  Queen's  Nurses 
on  active  service,  some  hundreds  of  sybscribers 
have  ceased  to  take  the  Magazine,  and  of  the 
rest  no  less  than  208  have  not  yet  paid  for  the 
current  year,  though  they  have  given  no  notice 
of  a  wish  to  discontinue.  Many  others  have 
not  paid  for  191 7.  The  cost  of  paper  and 
printing,  as  everyone  knows,  has  increased  to 
an  alarming  extent,  and  unless  present  readers 
discharge  their  obligations,  and  unless  the 
number  of  subscribers  is  substantially  enlarged 
quite  quickly,  the  Queen's  Nurses'  Magazine 
must  cease  publication  forthwith. 


The  dissertation  on  "  Sister,"  by  Corporal 
Ward  Muir,  R.A.M.C.  (T.),  of  the  3rd  London 
General  Hospital,  in  that  entertaining  and 
interesting  book,  "The  Happy  Hospital," 
published  by  Messrs.  Simpkin,  Marshall,  Kent 
&  Go.,  Ltd.,  sums  up  the  position  with  an 
insight  so  keen,  and  a  humoift-  so  incisive,  as 
to  give  both  Sister  and  Staff  Nurse  pause  for 
thought.     Mr.  Ward  Muir  writes  : — 

"  There  is  a  deal  of  difference,  in  hospital, 
between  the  word  Sister  and  the  word  Nurse. 
Sister  is,  of  course,  a  Nurse.  But  Nurse  is 
not  a  Sister.  However,  there  is  nothing  to 
prevent  you  calling  Nurse  '  Sister ' — provided 
that  Sister  herself  is  not  at  your  elbow.  If  she 
is,  you  had  better  be  careful,  both  for  your 
own  sake  and  for  Nurse's. 

"  Some  wearily-wase  orderlies,  and  many 
patients  of  experience,  apostrophise  all  the 
female  officials  of  a  hospital  as  '  Sister.'  The 
plan  has  its  merits.  .  .  .  Apart  from  the  fact 
that  it  can  offend  none,  and  will  cajole  not  a 
few,  some  universal  appellation  of  this  sort  is 
— the  soldier  finds — almost  a  necessity  in  his 
constant  dealing  with  women  who  are  strangers 
to  him. 

"  He  comes  in  contact  with  a  host  of  women, 
especially  after  he  is  wounded ;  not  only 
nursing  women,  but  women  on  the  ambulances, 
women  who  serve  refreshments  at  halting 
places,  women  clerks  who  take  his  particulars, 
women  who  trace  casualties,  women  who 
transact  postal  errands,  and  so  on.  .  .  .  To 
address  them  each  indiscriminately  as  *  Miss  * 
is  absurd  ...  *  Madam  '  is  pedantic.  '  Nurse  * 
is  in  many  instances  manifestly  ridiculous ;  vou 
cannot  call  a  clerical  V.A.D.  or  a  Y.M.C.A. 
waitress  '  Nurse.'  So,  by  a  process  of  elimina- 
tion, '  Sister  '  is  reached. 


^30 


ZTbe  Brttidb  3ournal  of  l^ur^tng. 


August  24,  1918 


"  Thus  it  comes  to  pass  the  Mile.  Peroxide 
of  the  Frivol  Iheatre  who  takes  a  turn  at 
ladling  out  cups  of  cottee  in  a  railway-station 
canteen  (with  a  press  photographer  handy) 
finds  that  the  mud-stained  Tommies  are  say- 
ing, '  Another  slice  of  cake,  please,  Sister, '  or 
'  Any  fags  for  sale  here.  Sister?  '  The 
Duchess,  too,  who  is  cutting  bread-and-butter 
hears  herself  hailed, by  the  same  designation. 
And  if  both  Miss  Peroxide  and  the  Duchess  are 
not  flattered  (and  maybe  a  little  moved,  too),  I 
should  be  surprised. 

"  For  really,  you  know,  '  Sister '  is  the 
happy  word.  It  fits  the  situation — all  such 
situations.  Wouldn't  it  be  possible  to  add  one 
perfect  touch  :  that  our  women  comrades 
should  drop  into  the  habit  of  addressing 
us  as  '  Brother  '  ?  Officers  and  men  alike — 
'  Brother  '  !  It  would  be  a  symbol,  this,  of 
what  the  war  ought  to  mean  to  us  all  :  a  fine 
collaboration  of  high  and  low,  equals  in 
endeavour.   .   .   . 


"  When  I  was  first  put  into  a  ward  to  serve 
as  an  orderly  I  was  instructed  beforehand  that 
the  only  person  to  be  entitled  Sister  was  the 
goddess  with  the  iStripes.  Eager  to  be  correct, 
I  addressed  the  Statt  Nurse  as  '  Nurse.'  At 
once  I  divined  there  was  something  wrong. 
Her  lips  tightened.  In  a  frigid  voice  she 
informed  me  of  the  significance  of  the  Cape  : 
all  Cape-wearers  held  a  status  equivalent  to 
that  of  a  commissioned  officer  in  the  army, 
and  must  be  treated  as  such  by  privates  like 
myself.  All  Cape-wearers  were  to  be  accorded 
the  proper  courtesies  and  addressed  as  Sister. 
Furthermore,  the  speaker,  realising  that  I  was 
a  new  recruit,  and  therefore  perhaps  ignorant, 
would  have  me  know  that  all  Cape-wearers  had 
undergone  certain  years  of  training.  .  .  .  The 
speaker  concluded  by  a  sketch  of  her  past 
career — I  was  held  up  in  the  mid^t  of  an  urgent 
job  to  hearken  to  it — ^and  a  rough  estimate  of 
the  relative  indispensability  of  the  female  as 
compared  with  the  male  staff.  Finally  I  was 
dismissed  with  an  injunction  to  hurry,  and 
finish  my  incompleted  task. 

"  *  Very  good.  Sister,'  I  replied. 

"  Half  an  hour  later,  in  a  pause  in  the  morn- 
ing's rush,  I  was  beckoned  aside  into  the  ward 
kitchen  by  Sister  herself.  She  gently  apprised 
me  that,  as  I  was  a  new  recruit,  she  thought 
perhaps  I  was  not  yet  aware  of  the  accurate 
modes  of  address  and  the  etiquette  customary 
in  a  military  hospital.  Etcetera,  etcetera.  She 
had  overheard  me  call  the  Staff  Nurse 
'  Sister.' 


"  Enough.  One  may  smile  at  these  exhibi- 
tions of  feminine  human  nature  (and  I  could 
match  them,  absolutely,  on  the  male  side),  but 
when  all  is  said  and  done  '  Sister  '  is  a  beautiful 
title,  and  most  of  the  women  who  receive  it — 
whether  correctly  or  because,  by  war  service, 
they  have  had  it  bestowed  upon  them — richly 
deserve  it  as  a  token  of  gratitude  and  honour. ' ' 


The  trustees  of  the  Scottish  Nurses'  Club 
have  purchased  and  are  equipping  premises  at 
205,  Bath  Street,  Glasgow.  The  office-bearers 
appointed  are  the  Marchioness  of  Ailsa,  Presi- 
dent ;  Mrs.  J.  W.  Stewart,  Vice-President ; 
Convener,  Mrs.  David  M'Cowan;  Vice-Con- 
vener, Mrs.  J.  F.  Pollock ;  Hon.  Secretary  and 
Treasurer,  Sir  John  S.  Samuel ;  Law  Agent, 
Mr.  Thomas  Stark  Brown.  The  Club  has  no 
official  connection  with  any  organization  of 
nurses ;  the  management  will  be  in  the  hands 
of  five  representatives  of  the  trustees,  and 
individual  nurses. 


EARNEST   WORKERS  NEEDED. 


Emphasising  the  need  for  recruits  for  Queen 
Mary's  Army  Auxiliary  Corps  {alias  the  "  Waacs  ") 
the  Times  says  that  "  thousands  of  women  are 
needed  where  hundreds  only  are  coming  forward. 
The  appeals  from  the  different  commands  are 
piteous.  One  commanding  officer  who  had  been 
promised  a  large  contingent  set  to  work  and  had 
the  pleasantest  portion  of  his  camp  fenced  off  and 
labelled,  '  Q.M.A.A.C.  only.'  He  had  a  garden 
laid  out,  had  provided  dining-rooms,  recreation- 
rooms,  sleeping  huts,  and  everything  of  the  best. 
As  he  looked  sadly  over  the  silent  result,  he  said, 
'  These  are  my  "  Waackeries,"  but  where  are 
my  "  Waacs  ?'  "  '  You  can  see  them  any  after- 
noon from  three  to  six  on  the  river,'  was  the 
cynical  reply  of  one  who  knew,  '  they  haven't 
joined  up  yet.' 

"  There  are  still  thousands  of  idle  women  and 
girls  in  the  country.  Some  of  them,  perhaps,  do  a 
little  occasional  voluntary  work,  but  the  a,verage 
of  their  hours  of  industry  is  not  great.  The 
controllers  of  the  Q.M.A.A.C,  howeve-,  do  not 
despair,  and  a  big  recruiting  '  push  '  has  been 
begun,  with  a  change  of  method. 

"  A  valuable  adjunct  to  recruiting  will  be  an 
official  film  which  is  being  prepared  and  will 
presently  be  shown  throughout  the  countty.  It  is 
called  '  The  Life  of  a  Waac'  It  will  show  her 
from  the  time  she  enlists,  her  life  in  Connaught 
Club,  her  work  when  training  at  a  great  military 
centre,  and  finally  her  embarcation  for  France. 
Later,  it  is  hoped  that  oversea  films  will  be  pre- 
pared showing  how  the  women  live  and  work  at 
the  great  bases  and  how  they  help  to  send  more 
men  up  the  line  by  doing  work  which  in  war  time 
men  ought  not  to  do." 


August  24,  1918 


^l>e  British  3ournal  ot  TluretnG. 


Ill 


BOOK    OP  THE   WEEK. 


"THE     NURSERY."* 

Mr.  Eden  Phillpotts  needs  no  recommendation, 
and  no  introduction.  He  is  always  worth  reading. 
He  most  often  deals  with  primitive  and  lawless 
men  and  women,  but  he  would  lose  much  of  his 
power  and  charm  if  he  attempted  to  lead  his 
readers  by  conventional  paths.  "  The  Nursery  " 
is  an  Essex  story  and  the  local  colour  is  one  of  its 
chief  attractions. 

Aveline,  the  young'widow,  who  turned  out  not 
to  be  a  widow  at  all,  appeared  in  the  neighbour- 
hood of  Colchester  to  follow  her  profession  of  a 
painter.  None  knew  from  where  she  came,  or 
aught  of  her,  save  that  she  was  a  beautiful  woman. 
Her  entry  into  the  village  life  was  marked  by  her 
rescuing  a  love-sick  girl  from  suicide  in  the  River 
Colne,  and  afterwards  her  consequent  close  friend- 
ship with  the  girl.  The  incident  also  provided 
an  introduction  to  the  village  circle,  for  Margery 
came  of  decent  people  and  was  well  known  in  the 
neighbourhood.  Aveline's  first  coveted  subjects 
for  a  picture  were  the  tramps,  who  play  a 
prominent  part  in  the  story. 

"  Both  man  and  woman  were  somewhat  extra- 
ordinary figures,  and  both  smoked  pipes.  The 
woman  bore  the  marks  of  beauty  in  ruins.  She 
might  have  been  forty-five,  and  was  tanned  brick- 
red  by  exposure.  Her  eyes  were  bright  and  of 
the  darkest  brown  ;  on  her  head  she  wore  a 
bedraggled  hat,  with  one  great  turkey  feather  set 
bolt  upright  upon  it ;  her  hair  was  cut  short,  and 
her  thin  bosom  was  buttoned  up  in  an  old  Norfolk 
jacket.  Her  dress  of  withered  brown  ended  in 
a  fringe  of  rags. 

The  man  accosting  Aveline  Brown  says  : — 
"Me  and  Emma  was  wondering  what  you  were 
up  to." 

"  I'm  going  to  paint  a  picture." 
"  Why  ?  "  asked  the  man. 
"  I  live  by  it." 

"  Can't  say  as  I've  see  you  before,  have  you, 
Emma  ?  " 

"  I'm  a  newcomer  to  Colchester." 
"  We're  very  well    known — famous,  in   fact," 
explained  Emma. 

"  But  our  liking  for  fresh  air  and  objection  to 
what  they  calls  '  honest  toil'  makes  us  a  people 
apart,"  drawled  the  man.  "  I'm  William  Ambrose 
and  she's  Emma  Davey,  better  known  as  '  Marma- 
lade Emma,'  owing  to  a  misunderstanding  at  the 
grocer's." 

The  brother  of  the  male  tramp  was  Aubrey 
Parkyn  Ambrose,  described  by  Emma  as  the 
"  biggest  nursery  man  in  Colchester.  Worth 
hundreds  of  thousands,  I  daresay — and  the 
Mayor  of  Colchester  this  year  into  the  bargain." 

"  I'm  the  thorn  in  his  flesh,"  declared  the 
tramp.  He  certainly  was  !  If  Mr.  Phillpotts 
can  draw  the  disreputable  tramp  true  to  life,  he 
is  no  less  successful  when  he  paints  nature  in  more 

♦  By  Eden  Phillpotts.    (London  :  Heinemann.) 


attractive  form,  and  his  description  of  the  summer 
glory  in  the  nursery  garden  glows  with  colour. 

It  was  while  strolling  in  the  gardens  that 
Aveline  met  Peter  Mistley,  who  was  to  play  a 
great  part  in  her  life. 

He  was  the  designer  of  the  water  garden. 
Aveline  asks  if  she  may  sketch  there.  "  I'd  love 
to  try  this  lakelet,  but  I  expect  it  would  beat 
me,"  she  confessed  !  "  D'you  know  the  under- 
lying gold  in  it  ?  But  you  made  it,  so  no  doubt 
you  do.  It's  gold.  You  feel  it  more  than  you  can 
see  it,  but  it's  there  soaking  everything.  It  actu- 
ally flashes  out  on  a  dead  water-lily  leaf,  or  the 
edge  of  a  reed,  or  in  those  warm,  cloudy  masses 
of  plume  poppy  beyond." 

Oyster-dredging  at  Brightlingsea  is  yet  another 
aspect  of  industry  from  this  versatile  pen,  and  it 
is  possible  to  learn  a  great  deal  on  this  subject 
from  Mr.  Rebow.  Of  the  human  interest,  it  is 
impossible  to  justify  Aveline's  treatment  of  Peter 
Mistley,  for  she  married  him  well  knowing  that 
her  husband  was  alive,  but  the  war  solved  the 
problem  of  their  relationship,  as  it  has  solved 
many  other  problems. 

Even  Marmalade  Emma  contrives  to  be  pathetic, 
and  she  laments  faithfully  her  disreputable 
partner,  whose  terrible  death  is  depicted  in 
characteristic  fashion. 

"  Of  course,"  she  said,  "  we  shan't  tramp  no 
more,  nor  nothing  of  that.  But  he  believed  we 
should  meet  again  ;  he  often  said  he'd  be  terrible 
bored  till  I  came  to  him.  He'll  be  changed,  but 
I  hope  not  too  much  changed."  Her  simple 
faith  is  not  shared  by  Aveline,  who,  speaking  of 
Peter's  death  with  the  tramp — rin  the  familiar 
fashion  that  Mr.  Phillpotts  makes  natural — says, 
"  He  must  have  known  that  if  he  ever  really  came 
back  that  it  would  be  ages  before  he  could  trust 
me  or  respect  me  any  more.  And  no  doubt  he 
felt  the  game  wasn't  worth  the  candle. 

"  If  you  could  only  feel,  same  as  I  do  that  you're 
going  back  to  him — if  he's  happy,  then  it's  your 
place  to  be  content." 

But  Aveline  had  the  one  adventure  that  Peter 
Mistley  had  declared  that  everyone  needed, 
although  it  spelt  disaster  for  herself  and  the 
man  she  professed  to  love.  H.H. 


LIFE. 

I  play  with  life  on  different  days 

In  different  moods, 
Sometimes  my  wayward  spirit  sti-ays 

In  wonderful  solitudes. 
Sometimes  I  seek  the  crowded  ways 

Of  the  world's  gay  multitudes. 

Sometimes  my  soul  is  fierce  and  mad 

As  a  winter  sea ; 
Sometimes  my  soul  is  brave  and  glad, 

And  the  hours  are  good  to  me. 
But  often  enough  it  is  tired  and  sad. 

Poor  waif  of  eternity ! 
— From  Rainbows,  bv  Olive  Custance. 


Hjz 


Jlbc  Britieb  3ournal  of  "Wurelnfi. 


August  24,  1918 


LETTERS  TO  THE  EDITOR. 

Whilst  cordially  inviting  communications  upon 
all  subjects  for  these  columns,  we  wish  it  to  be 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

CERTIFICATE    OF    EXISTENCE. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — ^As  one  who  has  from  time  to 
time  vouched  for  the  existence  of  annuitants  of 
the  R.N.P.F.N.,  as  well  as  witnessed  the  signature 
on  receipt,  I  am  at  a  loss  to  know  why  the  receipt 
had  to  be  returned  to  the  office  before  the  dispatch 
of  cheque.  Should  not  the  endorsement  of  cheque 
to  order  satisfy  the  actuaries  and  protect  the  fund, 
besides  being  businesslike,  even  in  transactions 
with  women  struggling  to  live  for  the  remainder 
of  their  days  on  a  small  income  ?  Postage  counts, 
particularly  in  these  days  when  a  bonus  is  missed. 
Yours  truly, 

Clara  Lee. 

Letch  worth. 

NURSERY    SCHOOLS. 
To  the  Editor  0}  The  British  Journal  of  Nursing. 

Dear  Madam, — Mr.  H.  A.  L.  Fisher,  at  the 
opening  of  the  Summer  School  for  Teachers  of 
Young  Children  at  the  Westfield  College,  Hamp- 
stead,  in  referring  to  tho  Nursery  School,  said 
this  opens  the  way  for  "  free  voluntary  experi- 
ment," and,  it  seems,  he  desires  "  suggestions 
and  offers  from  people  especially  interested." 

As  a  nurse  who  wishes  her  profession  to  take 
a  definite  form,  and  to  command  the  same  respect 
and  similar  remuneration  from  the  Government 
and  other  employers  as,  for  instance,  the  teaching 
professson,  I  object  to  the  proposition  that  we 
should  offer  ideas  founded  upon  our  knowledge 
and  training  to  authorities  who  did  not  heed  our 
claims  that  this  knowledge  and  training  was 
essential  to  the  success  of  the  scheme.  In  my 
opinion  the  time  has  gone  by  for  impressing  the 
Ministry  of  Education  with  our  views.  Tne 
Nursery  Schools  are  to  be  schools.  Well,  so 
be  it. 

Why  should  our  services  always  be  regarv^iCd 
as  something  to  be  had  for  mere  asking  ? 

Because  we  have  hitherto  placed  such  little  value 
nn  them  ourselvss. 

However,  I  am  happy  to  say  that  there  is  to 
be  plenty  of  scope  for  the  ideas  of  nurses  in  their 
own  recognised  sphere,  by  the  spurt  given  to  the 
day  nursery  with  the  passing  of  the  Child  Welfare 
Bill. 

Let  our  best  nurses  interest  themselves  more 
in  the  development  of  public  health  work,  and 
take  their  proper  place  in  it,  and  we  will  prove 
that  our  services  are  worth  true  recognition,  and 
are  no  longer  to  be  classed  with  voluntary  efEorts 
and  benevolent  societies.  Then,  indeed,  will 
nursing  rank  with  other  professions  and  be  able 
to  claim  its  dues, 

Yours  faithfully, 

Mosside,  M/C  Theresa  McGrath, 


THE     HOSPITAL     LAUNDRY. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — I  was  glad  to  see  in  The  British 
Journal  of  Nursing  last  week  an  article  on  "  The 
Hospital  Laundry,"  for  in  my  experience  the  sub- 
ject is  one  concerning  which  the  knowledge  of  most 
nurses  is  sadly  deficient.  Yet,  whether  we  consider 
it  from  .the  point  of  view  of  the  nurse  who  is  often 
recklessly  lavish  of  clean  linen,  both  in  hospitals 
and  private  houses,  of  the  Sister  who  is  personally 
responsible  for  the  correctness  and  good  order  of 
the  supplies  of  her  ward  linen,  or  the  Matron  who 
should  know  approximately  the  average  number  of 
articles  required  to  supply  a  given  ward,  the  number 
which  should  be  sent  to  the  wash,  and  the  amount 
of  labour  and  materials  reeded  to  cope  with  them, 
the  question  of  the  laundry  is  all-important.  Linen 
may  be  damaged  or  ruined,  and  expenditure  in 
regard  to  the  laundry  be  greatly  in  excess  of  what 
is  necessary,  if  an  expert  and  vigilant  eye  is  not 
kept  on  all  these  departments.  Added  to  this,  most 
careful  checking  is  needed  when  the  clean  linen 
is  returned,  or  articles  may  disappear  and  not  be 
forthcoming  when  stock-taking  time  draws  on. 
Incidentally  I  may  mention  that  this  worry  is  mini- 
mised if  the  laundry  is  on  the  premises,  as  much 
closer  supervision  is  possible. 

Another  advantage  is  that  nurses  in  their  fourth 
year  can  act  as  assistant  to  the  Home  Sister,  or 
Assistant  Matron,  who  arranges  and  controls  the 
work  of  the  laundry.  This  makes  for  smooth  work- 
ing in  the  hospital  concerned,  and  the  experience 
is  invaluable  to  the  nurse  subsequently  if  she 
applies  for  an  administrative  post.  For  such  a  f>ost 
high  certificates  in  nursing,  indispensable  as  they 
are,  are  only  part  of  her  equipment.  Housekeeping 
experience,  a  knowledge  of  food  values,  and  of  the 
management  of  a  laundry,  also  count  for  much,  for 
she  may  have  to  supervise  and  control  both  these 
departments. 

I  am,  Dear  Madam, 

Yours  faithfully, 

Superintendent. 
A    CHANGE     NEEDED. 
To  the  Editor  of  The  British  Journal  of  Nursing, 

Dear  Madam, — If  nurses  are  run  down  through 
length  of  service  in  an  enervating  climate,  they 
should  have  medical  advice,  and  it  should  be  fol- 
lowed. I  may  point  out,  however,  that  the  climate 
of  India  differs  widely,  and  that  a  visit  to  the  hills 
would  in  most  cases  meet  the  needs  of  the  situation. 
There  are  many  places  where  the  climate  is  as  tem- 
perate and  invigorating  as  that  of  the  Homeland. 
Yours  truly, 

Anglo-Indi.'vn. 


OUR     PRIZE     COMPETITION. 

QUESTIONS. 

August  ^isi. — Mention  some  of  the  principal 
disorders  of  the  nervous  system,  and  the  duties  of 
the  nurse  in  regard  to  them. 

September  yth.—What  are  the  principal  functions 
of  a  School  Nurse?  How  may  she  assist  in  raising 
the  standard  of  national  health  ? 


August  24, 1918  ziyc  Brttisb  Journal  of  f^ur^ina  Supplement. 

The 


13^ 


MATERNITY  AND  CHILD  WELFARE. 

By  direction  of  the  President  of  the  Local 
Government  Board  a  circular  has  been  addressed 
by  the  Secretary  of  the  Board  bringing  to  the 
notice  of  County  Councils  (other  than  the  L.C.C.) 
and  of  Sanitaiy  Authorities,  the  provisions  of  the 
Maternity  and  Child  Welfare  Act,  19 18,  which  has 
recently  been  passed.     The  circular  states  : — 

The  Act  widens  thepowersof  Local  Authorities 
in  the  matter  of  maternity  and  child  welfare.  It 
enables  them  to  make  such  arrangements  as  may 
be  sanctioned  by  the  Board  for  attending  to  the 
health  of  expectant  mothers  and  nursing  mothers 
and  of  children  who  have  not  attained  the  age  of 
five  years,  and  are  not  being  educated  in  schools 
recognised  by  the  Board  of  Education. 

A  Council  exercising  powers  under  the  Act 
must  appoint  a  Maternity  and  Child  Welfare 
Committee.  This  Committee  ma,y  be  special'y 
appointed  for  this  purpose  or  may  be  an  existing 
Committee  or  a  sub-Committee  of  an  existing 
Committee,  and  it  must  include  at  least  two 
women.  Subject  to  two-thirds  of  the  members  of 
the  Committee  being  members  of  the  Council, 
persons  specially  qualified  by  training  or  expeii- 
ence  in  subjects  relating  to  health  and  maternity 
who  are  not  members  of  the  Council  may  be 
appointed  as  members  of  the  Committee.  A 
Committee  appointed  under  the  section  may  also 
appoint  sub-committees  consisting  wholly  or 
partly  of  members  of  the  Committee.  Mr.  Hayes 
Fisher  considers  it  is  important  that  working 
women  should  be  represented  on  the  Committee. 
In  seeking  such  representatives  the  local  branches 
•of  working  women's  organisations  or  the  Standing 
Joint  Committee  of  Industrial  Women's  Organisa- 
tions, 33,  Eccleston  Square,  London,  S.W.  i, 
might  usefully  be  consulted. 

2.  The  Supreme  importance  of  Ma^erni.y  and 
Child  Welfare  work  at  the  present  time  needs  no 
•emphasis.  With  a  view  to  encovirrging  the 
.provision 'of  further  services,  which  exj^erience  has 
shown  would  be  of  value  for  cO' 'serving  infant  lives 
'and  health,  Mr.  Hayes  Fisher  has  obtained  the 
sanction  of  the  Treasury  to  a  considerable  exten- 
sion of  the  scope  of  the  Board's  grant. 

Regulations  under  which  grants  not  exceeding 
one-half  of  approved  net  expenditure  will  be  payable 
by  the  Local  Government  Board  to  Local  A  uthorities 
and  to  Voluntary  Agencies  in  respect  of  arrangements 
for  attending  to  the  health  of  expectant  mothers  and 
nursing  mothers  and  of  children  under  five  years 
of  age. 

I.  The    Local    Government    Board     will    pay 

grants   during   eaCh   financirJ   year,   commencing 

on  April  ist,  in  respect  of  the  following  services  : — 

(i)  The  salaries  and  expenses  of  Inspectors  of 

Midwives. 


(2)  The  salaries  and  expenses  of  Health  Visitors 
and  Nurses  engaged  in  Maternity  and  Child 
Welfare    work. 

(3)  The  provision  of  a  midwife  for  necessitous 
women  in  confinement  and  for  areas  which 
are  insufficiently  supplied  with  this  service. 

(4)  The  provision,  for  necessitous  women,  of  a 
doctor  for  illness  connected  with  pregnancy 
and  for  aid  during  the  period  of  confinement 
for  mother  and  child. 

(5)  The  expenses  of  a  Centre,  i.e.,  an  institution 
providing  any  or  all  of  the  following  ad  ivit  ics  : 
medical  supervision  and  advice  for  expectant 
and  nursing  mothers,  and  for  children  under 
five  years  of  age,  and  medical  treatment  at  the 
Centre  for  cases  needing  it. 

(6)  Arrangements  for  instruction  in  the  general 
hygiene   of  maternity  and  childhood. 

(7)  Hospital  treatment  provided  or  contracted 
f^r  by  Local  Authorities  for  complicated  cases 
of  confinement  or  complications  arising  after 
parturition,  or  for  cases  in  which  a  woman 
to  be  confined  suffers  from  illness  or  deformity , 
or  for  cases  of  women  who,  in  the  opinion  of 
the  Medical  Officer  of  Health,  cannot  with 
safety  be  confined  in  their  homes  or  such 
other  provision  for  securing  proper  conditions 
for  the  confinement  'of  necessitous  women  as 
may  be  approved  by  the  Medical  Officer  of 
Health. 

(8)  Hospital  treatment  provided  or  contracted 
for  by  Local  Authorities  for  children  under 
treatment. 

(9)  The  cost  of  food  provided  for  expectant 
mothers  and  nursing  mothers  and  for  children 
under  five  years  of  age,  where  such  provision 
is  certified  by  the  Medical  Officer  of  the 
Centre  or  by  the  Medical  Officer  of  Health  to 
be  necessary  and  where  the  case  is  necessitous. 

(10)  Expenses  of  creches  and  day  nurseries  and  of 
other  arrangements  for  attending  to  the 
health  of  children  under  five  years  of  age 
whose   mothers   go   out   to   work. 

.(i  i)  The  provision  of  accommodation  in  convales- 
cent homes  for  nursing  motheis  and  for 
children  under  five  years  of  age. 

(12)  The  provision  of  homes  and  other  arrange- 
ments for  attending  to  the  health  of  children 
of  widowed,  deserted  and  unmarried  mothers, 
under  five  years  of  age. 

(13)  Experimental  work  for  the  health  of  expect- 
ant and  nursing  mothers  and  of  infants  and 
children  UTider  five  years  of  age  carried  out  by 
Local  Authorities  or  voluntary  agencies  with 
the  approval  of  the  Board. 

(14)  Contributions  by  the  Local  Authority  to 
voluntary  institutions  and  agencies  approved 
under  the  scheme. 


'31        XLbc  :3Sr(ti9b  Journat  of  'Flurelnc  Supplement  ^«^"^^  ^4,  1918 


2.  Grants  will  be  paid  to  voluntary  agencies 
aided  by  the  Board  on  condition  : — 

(i)  That  the  work  of  the  agency  is  approved  by 
the  Board  and  co-ordinated  as  far  as  practic- 
able with  the  public  health  work  of  the 
Local  Authority  and  the  school  medical 
service  of  the  local  education  authority. 

(2)  That  the  premises  and  work  of  the  institution 

are    subject   to   inspection   by   any    of   the 
Board's  Officers  or  Inspectors. 

(3)  That    records    of    the    work    done    by    the 

agency  are  kept  to  the  satisfaction   of  the 
Board. 

3.  An  application  for  a  grant  mi.st  be  rna,de  on  a 
form  Supplied  by  the  Board. 

4.  The  Board  may  exclude  any  items  of  expendi- 
ture, which,  in  their  opir.ion,  should  be  deducted 
for  the  purpose  of  assessing  the  grant,  and  if  any 
question  a,Tises  as  to  the  interpretation  of  these 
Regulations,  1he  de- 
cision of  the  Board 
sha'l  be  final. 

5.  The  grant  paid 
in  each  financial  year 
will  be  assessed  on 
the  basis  of  the  ex- 
penditure incurred. 
on  the  service  in  1he 
preccdi-g  financial 
year,  and  wi'l  be,  as 
a  rule,  at  the  rate  of 
one-half  of  that  ex- 
penditure where  the 
services  have  been 
provided  with  the 
Board's  approval  and 
are  carried  on  to 
their  satisfaction. 
The  Board  may,  at 
their  discretion,  re- 
duce or  withhold  tic 
grant. 


interest  in  its  upkeep,  it  has  teen  thought  fitting 
that  the  memorial  shemld  take  thcshape  of  some- 
thing which  will  enrich  and  beautify  the  chapel 
which  would  thus  be  a  permanent  mark  of  her 
devotion  to  it. 

Donations  may  be  sent  to  the  Matron,  Miss  A. 
Blomfield  ;  the  Chaplain,  Rev.  E.  W.  French  ; 
or    the    Secretary,    Mr.    Arthur    Watls. 


THE  OPEN-AIK  SHELTER   IN   CONNECTION  WITH  THE 
COUNTESS  OP  ATHLONE'S  BABIES'  HOME. 


QUEEN     CHARLOTTE'S     HOSPITAL. 

Sister  Micdcalf  Memorial. 

We  arc  asked  by  Mr.  Arthur  Wp.t  s,  Secretary 
of  Queen  Charlotte's  Hospi'.al,  Marylcbone  Road 
N.W.,  to  notify  that  it  is  proposed  to  raise  a 
permanent  memorial  to  the  late  Sister  Medcalf" 
in  recogni'.ion  of  her  splendid  record  of  work 
at  Queen'  Charlotte's  Hospital.  She  was  a 
Sister  at  the  Hospital  for  over  twenty-feiur  years, 
and  from  1905  until  the  day  of  her  elcath  in 
Janua^'y  last  also  held  the  post  of  Assistant 
Ma'^ron. 

Sister  Medca'f  was  greatly  esteemed  by  a  large 
number  of  the  midwives  and  monthly  nurses 
trained  at  the  hospital,  aid  it  is  thought  there 
are  many  who  would  ^wish  to  be  identified  with 
such  a  memorial.  Any  subscrip'ion,  no  matter 
how    small,    wi'l    be    gladly    received. 

As  Sister  Medcalf  was  so  closely  identified  wiih 
the   chapel   services  and  took   such   a  care   and 


THE  STORY  OF  THE  TEETH. 

"  The  Story  of  the  Teeth  and  How  to  Save 
Them  "  is  the  title  of  an  instructive  and  interesting 
booklet  by  Dr.  Truby  King,  C.M.G.,  issued  by  the 
Babies  of  the  Empire  Society,  under  the  auspices 
of  the  Overseas  Club  anel  Patiiotic  League,  General 
Buildings,  Aldwych,  London,  W.C.  2. 

Writing  of  decay  of  the  teeth  D,-.  Truby  King 
says :  "  Docay  of  the  teeth  is  not  a  mere  chance  un- 
fortunate disability 
of  the  day ;  it  is  the 
most  urgent  and 
gravest  of  all  diseases 
of  our  time — a  more 
serious  national 
scojrge  than  cancer 
or  cons  ;mption.  In- 
elocd,  these  and  other 
diseases  would  be 
best  attacked  by 
establish ing  the 
strength  a.nd  resis- 
tivcness  of  the  whole 
human  organism  of 
which  the  mouth, 
ja.vs,  teeth,  and  nose 
are  the  gateways — 
*tho  gateways  to 
h<^r,lth  or  disease  ac- 
cording to  our  choice. 
Therefore,  the 
mother's  health  and 
habits  during  preg- 
nancy praxtica  ly  de- 
termine whether  her  baby's  first  set  of  teeth  are 
to  b3  strong  and  resistive  or  weak  and  subject  to 
decay.  In  the  next  stage  the  main  question  (in 
addition  to  fresh  air,  exercise,  &c.)  is  whether  the 
baby  is  suckled  or  bottle-fed  ;  and  in  the  third 
stage  whether  he  is  brought  up  luxuriously,  or 
with  a  Spartan  simplicity  anel  regulaity — ^fed  on 
food  needing  vigorous  mastication — not  coddled, 
spoiled,  or  pap-fed.  Thus  is  the  building  and 
destiny  of  the  permanent  teeth  also  an  intimate 
domestic  and  family  question.  Granted  sensible 
upbringing,  on  the  lines  indicatcel,  there  would  be 
no  grounds  for  any  anxiety  as  regards  the  future." 
1  m  « 

BABIES'  OPEN-AIR  SHELTER. 

Our  illustration,  forwhich  we  a-c  indebted  to  the 
courtesy  of  the  editor  of  The  Gentlewoman,  shows 
the  open-air  shelter  in  connection  with  the  Countess 
of  Athlone's  Babies'  Home.  It  is  an  interesting 
and,  we  do  not  doubt,  successful  experiment. 


THE 


§iiiiL°wmc 


WITH  WHICH  IS  INCORPORATED 

ML  maMBwa  m^€mm 

EDITED  BY  MRS  BEDFORD  FENWICK 


No.  1,587. 


SATURDAY,   AUGUST   31,    1918. 


Vol.    LXI. 


EDITORIAL. 


THE    RIGHTS    OF    TRAINED    NURSES. 

To  all  men  and  women  of  thoughtful 
and  receptive  minds,  the  war,  notwith- 
standing all  its  horrors,  has  been  a  useful 
if  stern  instructor.  Among  the  many 
valuable  lessons  learnt,  and  one  of  the 
most  outstanding,  is  the  value  of  intimate 
contact.  We  have  watched  with  the 
deepest  interest  the  ties  which  bind  the 
Mother  Country  to  the  Colonies  growing 
stronger  and  stronger.  It  has  strengthened 
our  patriotism  as  never  before  ;  it  has  given 
us  a  practical  interpretation  of  solidarity — 
which  we  badly  needed.  Speaking  broadly 
. — in  spite  of  strikes  and  rumour  of  strikes 
(perhaps  because  of  them)  —  we  are 
approaching  nearer  to  the  ideal  of  national 
solidarity.  Nearer,  but  not  very  near  even 
yet.  We  trained  nurses  might,  with  much 
profit,  take  the  signs  of  the  times  as  a 
parable  applicable  to  ourselves.  We  have 
Imperial  Conferences,  and  Inter-Allied  Con- 
ferences. The  deliberations  and  conclu- 
sions arising  therefrom,  constitute  a  force 
which  has  brought  us  within  sight  of  victory. 
L' union  fait  la  force.  There  is  not  the 
slightest  doubt  about  that  legend. 

This  intimate  contact  is  needed  in  the 
nursing  profession  in  order  to  make  it 
"  safe  for  democracy."  We  have  an  effec- 
tive plant  ready  at  hand.  We  have  our 
own  professional  societies,  well  organised 
and  properly  constituted.  We  have  self- 
governing  societies  of  certificated  nurses 
grouped  in  our  National  Council,  and  with 
other  National  Associations  we  are  grouped 
in  the  International  Council  of  Nurses,  and 
few  of  us  thus  associated  can  express  or 
perhaps  even  realize,  what  we  owe  to  its 
inspiration.  Again  we  have  the  Royal 
British  Nurses'  Association,  the  only  body 
of  nurses  to  possess  a  Royal  Charter,  of 
which  every  member  is.  justly  proud,  for  it 


confers  both  prestige  and  the  power  to  pro- 
mote good  constructive  work. 

No  progress  can  be  made  either  in  the 
government  of  a  country,  or  the  govern- 
ment of  a  profession,  where  the  workers 
are  denied  representation — adequate  repre- 
sentation— on  the  governing  body.  It  is 
further  necessary  that  nurses  should  realize 
the  historical  certainty  that  autocracy 
in  their  profession  will  die  hard,  and  that 
their  just  rights  can  never  be  sufficiently 
secured,  while  it  exists. 

Nevertheless,  with  unity,  determination 
and  solidarity  ultimate  victory  is  assured. 
The  true  spirit  of  liberty  is  never  defeated. 
Let  us  remember  that  we  are  fighting  in 
our  own  beloved  profession  (as  well  as 
throughout  the  civilised  world)  to  over- 
throw this  wrongful  power,  in  the  best 
interests  of  the  sick,  and  in  the  interests  of 
posterity.  A  careful  and  critical  study  of 
the  Bill  for  State  Registration  of  Nurses 
promoted  by  the  Central  Committee,  will 
abundantly  repay  those  who  are  interested 
in  nursing  politics, so  will  the  synopsis  printed 
inside  our  front  cover,  which  shows  what 
nurses  agree  to  who  sign  the  application 
form  for  Registration  and  Membership  of 
the  College  of  Nursing,  Ltd. 

It  is  an  interesting  fact  that  the  idea  of 
self-government  has  found  expression  even 
in  prisons  :  in  some  parts  of  America  where 
prison  reform  is  far  advanced.  The  results 
have  been  all  that  could  be  desired.  The 
spirit  of  self-determination  pervades  the 
whole  world,  it  is  no  phantom  spirit.  It  is 
quietly,  though  insistently  palpable. 

The  lure  of  it  is  felt  by  all  the  most 
intelligent  nurses  in  this  country.  But 
nothing  worth  having  can  come,  or  will 
come,  by  lazily  wishing  for  it  only,  except 
in  fairy  tales.  If  workers  want  their  rights, 
they  must  assert  themselves  in  the  only 
practical  way — namely  by  working  for 
them,  and  working  for  them  in  conjunc- 
tion with  others.     Uunion  fait  la  force. 


136 


^be  »riti9b  3ournal  of  •Kurgino, 


August  31,   1918 


NURSES  TAKE   RANK  AS  OFFICERS. 

It  is  with  great  pleasure  that  we  draw  atten- 
tion to  the  announcement  in  the  regulations  for 
the  members  of  the  Royal  Air  Force  Nursing 
Service  published  on  pages  139  and  140,  that 
honorary  rank  as  officers  is  to  be  granted  to  the 
members  of  the  Service,  the  Matron-in-Chief 
as  major,  Matrons  and  Superintending  Sisters 
as  captains,  Sisters  as  lieutenants,  and  Staff 
Nurses  as  second-lieutenants. 

Nothing  could  make  the  Service  more 
popular,  or  conduce  more  to  its  efficiency  by 
attracting  a  high  type  of  nurse.  The  thanks 
of  the  nursing  profession  are  due  to  the  Air 
Ministry  for  conferring  on  the  members  of  the 
newest  Nursing  Service  the  rank  which  has  so 
far  been  withheld  from  the  members  of  the 
sister  Services. 


A    DEVICE    FOR    PREVENTION    AND 
TREATMENT  OF  ADENOIDS. 

Dr.  Isabel  Ormiston,  Medical  Inspector  of 
Schools,  Tasmania,  gives  in  the  Lancet  the 
following  interesting  description  of  a  device  for 
prevention  and  treatment  of  adenoids  : —      , 

When  in  1914  a  non-operative  method  of 
treating  adenoids,  discovered  by  Mrs.  E. 
Handcock,  was  brought  under  my  notice  I  was 
not  merely  sceptical,  but  openly  scoffed  at  the 
idea.  I  was  bound  to  admit,  however,  that 
after  two  years'  residence  in  a  children's  hos- 
pital and  three  years'  medical  inspection  of 
school  children  I  was  not  satisfied  with  the 
results  of  the  usual  operative  treatment;  as 
such  a  large  percentage  of  cases  remained 
mouth-breathers  and  continued  to  suffer  from 
nasal  catarrh.  In  many  cases  also  the  growth 
returned. 

Description  of  Method. 

This  new  treatment  consists  in  the  produc- 
tion of  a  sneeze  by  lightly  touching  the  nasal 
septum  near  the  tip  of  the  nose  with  a  slightly 
irritant  adhesive  powder,  made  from  powdered 
iris  root  and  soap.  The  powder  is  not  sniffed 
up  into  the  nose. 

The  effect  of  the  sneeze  is  to  expel  the  catarrh 
or  muco-pus  from  'the  nose  and  the  adjacent 
sinuses.  This  stimulation  should  be  repeated 
till  a  "  drv  "  sneezse  results.  The  free  flow  of 
lymph  which  accompanies  the  sneeze  acts  as  a 
most  efficient  washout,  and  no  doubt  acts,  too, 
as  a  natural  protective  fluid  against  the  bac- 
terial Invasion  present  in  adenoids. 

The  children  who  are  old  enough  to  blow 
their  noses  are  then  taught  a  handkerchief 
drill.     They  stand  in  line,  and  at  the  word  of 


command  they  grasp  the  bridge  of  the  nose  and 
raise  the  elbow  to  the  height  of  the  shoulder, 
and  then  blow  forcibly.  The  position  of  the 
elbow  automatically  expands  the  lungs  and 
ensures  a  strong  current  of  air  being  forced 
through  the  nose,  which  is  held  at  the  bridge 
to  prevent  pinching  of  the  nostrils. 

Results. 

Under  the  supervision  of  Dr.  Octavia  Levvin 
an  experimental  clinic  of  this  nature  has  been 
in  ex'stence  for  six  months  at  the  Roll  of 
Honour  Hospital  for  Children,  Harrow  Road. 
The  committee  is  so  satisfied  with  the  results 
that  it  is  to  be  continued  as  part  of  the  hospital 
routine. 

I  have  been  observing  this  simple  method  of 
treatment  for  the  past  four  years,  and  have 
found  the  results  most  gratifying.  The  first 
marked  improvement  is,  curiously  enough,  in 
the  digestive  system.  The  dyspepsia  and  con- 
stipation, which  are  so  common  an  accompani- 
ment of  adenoids,  are  the  first  symptoms  tb 
disappear.  Perhaps  some  student  of  reflex 
action  could  explain  this.  We  know  that  the 
nose  is  an  early  indicator  of  indigestion, 
alcoholism,  and  gout ;  so  perhaps  it  is  not  sur- 
prising if  the  digestive  system  can  be  reflexly 
affected  by  a  nasal  stimulus. 

Deafness  due  to  the  blocking  of  the  Eus- 
tachian tube  also  disappears  quickly. 

The  time  taken  for  the  shrinkage  of  the 
growth  varies.  Generally  speaking,  the  younger 
the  child  the  quicker  the  results.  A  great  deal 
depends  on  the  intelligence  of  the  mother,  as 
the  treatment  must  be  carried  out  every  day. 
In  older  children  and  adults  with  nasal  obstruc- 
tion a  certain  amount  of  manipulation  of  the 
head  and  neck  is  necessary  to  stimulate  the 
lymphatic  circulation. 

One  of  the  chief  advantages  of  this  form  of 
treatment  is  that  large  numbers  of  school 
children  should  be  treated  simultaneously  at 
little  cost.  School  nurses  could  be  quickly 
trained  to  carry  out  the  treatment  under  the 
supervision  of  the  medical  inspectors  of 
schools.  At  the  present,  when,  owing  to  the 
shortage  of  staff,  the  out-patients'  departments 
of  the  various  hospitals  find  it  impossible  to 
cope  with  the  number  of  cases  from  the  board 
schools,  it  seems  the  ideal  moment  to  introduce 
the  system  into  our  schools. 

A  clinic  has  lately  been  started  at  the  West- 
minster Health  Association,  Greek  Street, 
Soho,  where  the  enthusiasm  of  the  mothers 
over  the  improvement  in  their  children  is  most 
encouraging. 


August  31,   1918 


ZTbe  Britisb  3ournal  of  IRurstng, 


137 


OUR    PRIZE    COMPETITION. 

MENTION  SOME  OF  THE  PRINCIPAL  DISORDERS  OF 
THE  NERVOUS  SYSTEM.  AND  THE  DUTIES  OF 
THE  NURSE   IN  REGARD  TO    IHEM. 

We  have  pleasure  in  awarding  the  prize  this 
week  to  Miss  Mary  D.  Hunter,  Section  Hos- 
pital, Kineton,  near  Warwick. 

PRIZE     PAPER. 

There  are  so  many  nervous  disorders  that 
perhaps  the  easiest  method  of  mentioning-  some 
of  the  principal  ones  would  be  to  classify  them 
under  three  headings,  i.e.  : — 

1.  Disorders  of  the  brain  (organic),  such  as 
hemiplegia,  meningitis,  or  tumours  of  the 
brain. 

2.  Disorders  of  the-  spinal  cord,  such  as 
tabes  dorsalis,  anterior  jx>liornyelitis,  scoliosis. 

3.  Disorders  of  the  nerves  (functional),  such 
as  epilepsy,  chorea,  hysteria,  and  neurasthenia. 

The  duties  of  the  nurse  in  regard  to  them 
varies  considerably  in  the  different  diseases. 
But  in  any  case  the  first  thing  for  her  to  con- 
sider is  the  cause  (and  if  any  organic  disease 
is  present),  and  v/hat  steps  the  physician  is 
taking  to  remove  it  or  ameliorate.  So  much 
help  can  be  given  by  careful  and  intelligent 
nursing  in  these  cases.  Suggestion  plays  a 
very  important  part  in  the  nursing  of  all 
nervous  disorders,  and  it  is  absolutely  essential 
that  the  nurse  inspires  confidence  in  her 
patient. 

To  enumerate  the  nurse's  duties  more  fully 
and  draw  attention  to  the  various  methods,  I 
should  like  to  briefly  mention  a  few  in  connec- 
tion with  the  disorders  I  have  chosen  as 
examples. 

I — Disorders  of  Brain. 

Heyniplegia  and  Meningitis. — Guard  against 
bedsores  in  both  diseases,  and  give  great  atten- 
tion to  the  bowels.  Care  must  be  taken  that  the 
diet  is  easily  digested  and  nourishing.  Pain  is 
best  relieved  by  cold  applications  to  the  head. 
In  the  former  the  nurse  Should  try  by  careful 
treatment  to  prevent  fixation  of  joints  and 
faulty  pKJsition  of  limbs. 

Cerebral  Tumour. — The  intense  headache 
being  one  of  the  symptoms,  care  is  needed  in 
choosing  a  suitable  place  for  the  bed  :  in  the 
darkest  corner,  so  that  the  light  does  not  irri- 
tate the  eyes.  Absolute  quiet  is  essential  for  all 
brain  disorders,  and  the  nurse  would,  of  course, 
avoid  any  sudden  noise,  such  as  the  banging 
of  a  door. 

2 — Disorders  of  Spinal  Cord. 

Tabes  Dorsalis. — "  Lightning  pains,"  one 
of  the  many  distressing  symptoms,  may  be 
relieved    by    hot    fomentations,    massage,    or 


counter-irritants  of  some  kind.  *  Suitable  exer- 
cises to  correct  ataxia  need  to  be  practised 
daily.  Constipation  is  frequently  present,  so 
that  the  question  of  aperients  proves  a  trouble- 
some detail.  The  nurse  should  impress  upon 
the  patient  the  importance  of  micturition  at 
frequent  and  regular  intervals,  as  disorders  of 
the  bfadder  generally  arise  to  complicate 
matters.  Between  the  attacks  or  crises,  feed- 
ing up  is  required  to  make  up  for  the  loss  of 
strengi:h.  In  fact,  to  insist  on  a  quiet,  regular, 
abstemious  life  is  the  duty  of  the  nurse  in 
regard  to  this  disease. 

Anterior  Polio  myelitis. — The  most  essential 
matter  is  warmth,  which  is  best  obtained  by 
baths,  suitable  clothing,  and  gentle  rubbings. 
See  that  the  child  has  complete  rest  in  a  com- 
fortable position,  careful  feeding,  and  that  the 
bowels  are  kept  regular. 

Scoliosis. — Really  more  a  deformity  of 
growth  than  a  disease,  and  to  correct  this 
deformity  great  attention  must  be  paid  to  the 
clothing.  Suitable  exercise  and  correct  breath- 
ing are  also  duties  for  the  nurse  to  consider. 

3 — Disorders  of  Nerves. 

Epilepsy. — It  is  necessary  to  improve  the 
general  health  by  regular  hours,  suitable 
exercise  and  occupation,  and  most  careful  diet. 

Chorea. — Absolute  quiet  and  isolation  should 
be  insisted  upon — rest  being  so  important — 
combined  with  light  food.  The  greatest  care  is 
needed  in  restraining  the  child,  as  too  much 
restraint  may  do  more  harm  than  good.  The 
sides  of  the  bed  will  need  padding.  Proper 
nursing  eliminates  bed-sores.  As  arsenic  is 
the  drug  usually  given,  the  nurse  must  be  well 
acquainted  with  the  signs  of  an  overdose. 

Hysteria. — ^The  duty  of  the  nurse  is  to  gain 
the  patient's  confidence  and  make  use  of 
judicious  suggestion.  Weir-Mitchell  treatment 
is  often  most  successful.  Not  too  much  fuss 
must  be  made,  but  the  fact  that  it  is  a  definite 
disease  must  not  be  lost  sight  of,  and  the  nurse 
should  refrain  from  showing  any  impatience. 

Neurasthenia. — Due  to  some  shock  or  worry 
and  consequent  mental  strain,  and  therefore 
tact  and  sympathy  are  required  in  dealing 
with  these  cases.  The  nurse's  chief  duty  is  to 
ensure  rest.  There  is  usually  loss  of 
weight,  so  that  diet  must  be  considered  to  help 
improve  the  general  health.  A  marked  feature 
is  insomnia,  which  requires  great  ingenuity  on 
the  part  of  the  nurse  to  find  out  the  best  means 
of  inducing  sleep. 

HONOURABLE    MENTION. 

The  following  competitors  receive  honourable 
mention  : — ^Miss  Catherine  Wright,  Miss  Alice 
M.  Burns,  Miss  P.  Thomson,  Miss  J.  Robinson. 


138 


^be  Brltteb  Journal  of  "Kuretno. 


August  31,    1918 


NURSING    AND    THE    WAR. 


SOUTH-WEST    AFRICAN    CAMPAIGN, 

List  of  Rewards. 
The  King  has  been  pleased  to  give  orders  for 
a  number  of  appointments  for  valuable  services 
rendered  in  connection  with  military  operations 
in  German  South-West  Africa.  Amongst  them 
is   the   following  : — 

ORDER    OF    THE    BRITISH    EMPIRE. 
Creagh,    Mrs.    Elizabeth   Rymer,    R.R.C.,    Matron-in- 
Chief,  South  African  Military  Nursing  Service. 

ROYAL     RED     CROSS. 

The  King  has  been  pleased  to  award  the  Royal 
Red  Cross  to  the  following  ladies  of  the  Nursing 
Services  in  recognition  of  their  valuable  services 
in  the  campaign  in  German  South- West  Africa, 
1914-1915  :— 

First  Class. 

Alexander,  Miss  I.  G.,  Matron,  S.A.M.N.S.  ;  Bester, 
Miss  H.  L.,  A.R.R.C,  Staff  Nurse,  S.A.M.N.S.  ;  Fynn, 
Miss  M.  A.,  A.R.R.C,  Staff  Nurse,  S.A.M.N.S.  ;  Weise, 
Miss  H.  H.,  A.R.R.C,  Nursing  Sister,  S.A.M.N.S.  ; 
Wessels,  Miss  E.  S.,  A.R.R.C,  Nursing  Sister, 
S.A.M.N.S. 

Second  Class. 

Burgess,  Miss  E.,  CmLD,  Miss  J.  C,  Ferguson,  Miss 
J.  M.,  Hawkes,  Miss  C  J.,  Newth,  Miss  A.  M., 
Pearson,  Miss  E.  M.,  Wilde,  Miss  B.  J.,  Wilson,  Miss 
E.,  Nursing  Sisters,  S.A.M.N.S.  ;  Krohn,  Miss  G., 
Landman,  Mrs.  J.  (tide  Patterson),  Van  Niekerk,  Miss 
D.  N.  K.,  Staff  Nurses,  S.A.M.N.S. 


A  special  supplement  to  the  London  Gazette 
contains  the  following  list  of  honours  and  awards 
for  valuable  services  with  the  British  Forces  in 
Mesopotamia  : — 

ROYAL     RED     CROSS. 

First  Class. 

CouLSON,  Miss  M.  G.,  Sister,  T.F.N.S.  ;  Earle,  Miss 
A.  L.,  Matron,  T.F.N.S.  ;  Gilmore,  Miss  M.  G.,  Matron, 
Q.A.M.N.S.L  ;  McNab,  Miss  M.  M.,  A.R.R.C,  Sister, 
Q.A.I.M.N.S.R.  ;  Rae,  Miss  M.,  Sister  and  Acting 
Matron,  Q.A.I.M.N.S.R.;  Wheeler,  Miss,  M.  K., 
Sister,  T.F.N.S.  ;  Wilkinson,  Miss  E.  S.,  Sister, 
Q.A.I.M.N.S.R. 

Second  Class. 

Argo,  Miss  M.  B.,  Staff  Nurse,  Q.A.I.M.N.S.R.; 
BoTTOMLEY,  Miss  C  M.,  Sister,  Q.A.I.M.N.S.R.  ; 
Crosbie,  Miss  M.  F.  D.,  Sister,  T.F.N.S.  ;  Curties, 
Miss  N.,  Sister,  T.F.N.S.  ;  Davies,  Miss  A.  M.,  Staff 
Nurse,  Q.A.I.M.N.S.R.  ;  Davies,  Miss  E.,  Staff  Nurse, 
Q.A.I.M.N.S.R.;  Emuss,  Miss  E.  A.,  Sister,  T.F.N.S.  ; 
Hartrick,  Miss  A.  L.,  Sister,  Q.A.I.M.N.S.R.  ;  Hun- 
stone,  Miss  M.,  Sister,  T.F.N.S.  ;  King,  Miss  E.  S., 
Staff  Nurse,  T.F.N.S.  ;  MacLean,  Miss  M.  E.,  Nursing 
Sister,  Q.A.M.N.S.L  ;  Marshall,  Miss  E.  O.,  Nursing 
Sister,  Q.A.M.N.S.L  ;  Reid,  Miss  A.  E.,  Staff  Nurse, 
Q.A.I.M.N.S.R.  ;  Robertson,  Miss  M.  A.,  Sister, 
Q.A.I.M.N.S.R.  ;  Seacombe,  Miss  B.  E.,  Sister, 
T.F.N.S.  ;  Wadsworth,  Miss  S.  E.,  Sister, 
Q.A.I.M.N.S.R.  ;  Wellington,  Miss  A.,  Staff  Nurse, 
Q.A.I.M.N.S.R. 

THE     MILITARY    MEDAL. 

It  is  announced  in  the  London  Gazette  of  August 
23rd  that  the  King  has  approved  of  the  following 


award  of  the  Military  Medal  for  distinguished 
service  in  the  Field  : — Staff  Nurse  Pearl  Eliza- 
beth Corkhill,  Aust.  A.N.S. — For  courage  and 
devotion  on  the  occasion  of  an  enemy  air-raid. 
She  continued  to  attend  to  the  wounded  without 
any  regard  to  her  own  safety,  though  enemy  air- 
craft were  overhead.  Her  example  was  of  the 
greatest  value  in  allaying  the  alarm  of  the  patients. 

Miss  M.  Adelaide  Nutting,  Chairman  of  the 
Committee  on  Nursing  of  the  Council  of  National 
Defence  in  the  United  States  of  America,  in  making 
a  report  to  the  twenty-first  Annual  Convention  of 
the  American  Nursing  Association,  which  is 
printed  in  full  in  the  American  Journal  of  Nursing, 
outlined  the  adoption  of  a  very  statesmanlike 
policy  by  that  Committee.  She  said  :  "  Women 
will  ask  themselves,  '  What  else  is  there  that  needs 
to  be  done  that  anybody  could  do,  since  the  Red 
Cross  and  the  Army  and  Navy  are  taking  such 
care  of  the  whole  situation  ?  ' 

"  Now  this  Committee  on  Nursing  has  found 
that  while  the  Army  and  Navy  controlled  and  the 
Red  Cross  mobilised,  there  was  something  else  to 
be  done,  and  that  was  to  try  to  create  something 
to  take  the  place  of  that  which  was  being  called 
away.  Let  me  say  that  last  June  the  estimate 
was,  if  I  remember  right,  that  we  would  need 
something  like  10,000  nurses  for  the  Army  Nursing 
Service.  It  did  not  seem  to  us  that  to  find  10,000 
nurses  in  this  great  country  would  be  very  difiicult ; 
the  Red  Cross  already  had  about  ■that  number 
mobilised.  But  before  many  months  an  order  was 
made  that  said  the  United  States  Army  Nursing 
Service  is  going  to  want  37,500  nurses,  and  a  few 
weeks  ago  another  body  asked  for  an  allowance  of 
40,000  nurses. 

"  Now  it  is  perfectly  clear  that  if  we  were  going 
to  put  10,000  into  France  or  into  active  duty,  we 
could  not  pick  up  10,000  nurses  without  making 
10,000  vacancies,  because  nurses  do  not  belong  to 
the  idle  classes,  and  we  would  have  to  have  some 
way  of  replacing  those  nurses  at  their  posts, 
wherever  their  posts  might  be.  Therefore,  one 
of  the  first  things  to  be  done  was  to  try  to  find 
some  good  and  satisfactor\'  way  of  bringing  into 
our  schools  more  women  and  training  more  women, 
just  as  rapidly  as  was  practicable,  to  go  into  the 
places  left  vacant  by  those  nurses  who  were  called 
to  active  duty.  It  was  assumed  that  a  good  many 
of  the  posts  in  the  hospitals  would  be  filled  by 
senior  nurses." 

After  saying  that  with  a  very  considerable 
amount  of  effort  a  very  large  number  of  students 
Jiad  been  brought  into  the  training  schools, 
amounting  to  something  over  7,000,  Miss  Nutting 
pointed  out  that  the  vacancies  created  pressed 
most  hardly  on  the  training  schools. 

Chevrons  for  American  Nurses  on  Home 
Service. 

"  Some  of  you,  I  presume,  are  shortly  going  out 
of  the  training  schools,  some  of  you  have  come  out 
of  them,  many  of  you  will  face  what  seems  to  be 
the   great   choice   of  a  great   opportunity.     You 


August  31,  1918         xLhc  Britieb  3ournal  of  murstna. 


139 


will  represent,  over  there  in  France,  or  wherever 
you  go,  the  mothers,  sisters,  daughters  and  wives, 
and  you  take  your  places  beside  their  loved  ones 
that  they  would  so  gladly  take  if  they  could  go, 
and  all  the  world  is  looking.  .  .  .  Our  work  to-day 
presents  to  us  a  great  crisis,  and  I  know  the 
American  nurses  will  rise  fully  and  thoroughly  to 
meet  it.  Whether  you  will  choose  thethingyou  most 
want  to  do  or  whether  you  will  choose  the  thing 
that  most  needs  you,  it  will  be  an  honourable  thing 
for  any  young  woman  to  choose  to  remain  at  her 
post  as  teacher,  as  supervisor,  as  public  health 
nurse,  if  she  is  more  valuable  there,  and  if  those 
who  know  most  of  her  work  feel  that  she  can  do 
better  service  there  than  she  can  do  anywhere  else. 
A  very  conspicuous  insignia  to  show  that,  will  be 
given  to  those  nurses,  and  I  think  that  is  very 
necessary.  For  I  can  remember  well  as  the  war 
progressed,  both  in  England  and  here,  it  was  said 
a  young  man  to-day  does  not  like  to  be  seen  in  the 
streets  without  a  uniform.  If  you  wear  the 
chevron  it  explains  why  you  are  not  at  the  front. 
All  the  country  is  looking  to  you  with  the  greatest 
possible  afEection  and  with  the  greatest  possible 
confidence." 


THE  ROYAL  AIR  FORCE  NURSING 
SERVICE. 


Lieutenant-Colonel  C.  Yeatman,  in  command  of 
the  ist  Australian  Auxiliary  Hospital  at  Harefield 
Park,  near  Uxbridge,  writes  in  the  Boomerang  : — 
"  After  more  than  three  years'  service  in  the 
A.I.F.,  it  is  good  to  realise  that  in  all  this  time 
there  has  been  room  only  in  one's  mind  for  the 
deepest  feelings  of  pride  and  affection  for  men  of 
one's  race  and  country.  Appreciation  of  their 
soldierly  qualities  and  magnificent  achievement  in 
battle  does  not  exhaust  by  any  means  all  that  can 
be  said  or  written  of  them,  and  I  feel  it  a  p'-ivilege 
to  be  able  to  record  my  unbounded  admiration 
of  the  pluck  and  sticking  power  of  my  wounded 
or  :5ick  Australian  comrades,  and  the  triumphant 
will  which  gave  exhausted  and  sick  troops  in 
Gallipoli  the  power  to  stand  for  months  against 
superior  forces,  and  I  shall  never  lose  the  memory 
of  the  cheeriness  and  fortitude  of  my  emaciated 
and  worn-out  typhoid  and  dysentery  patients  in 
Cairo,  with  "  Gallipoli  faces  "  and  frames  of  a  sort 
to  make  one  weep,  but  with  an  unfailing  spirit 
which  made  one  happy  to  have, been  born  and  bred 
an  Australian.  Let  me  cite  the  case  of  a  boy 
who  in  some  manner  became  infected  with  small- 
pox. He  was  nursed  by  our  own  Sisters  at  the 
Fever  Hospital  at  Abbasia,  and  when  I  went  to 
visit  him  there,  though  he  could  not  see  me  and 
was  on  the  point  of  death,  this  poor,  whispering 
boy,  with  the  last  flicker  of  life,  had  only  words  of 
gratefulness  for  the  nurses  who  attended  him.  I 
have  the  same  sense  of  pride  in  the  qualities  of  the 
devoted  women  of  the  Australian  Army  Nursing 
Services  on  active  service,  and  it  is  no  unfounded 
or  biassed  statement  to  make  that  these  are 
appreciated  by  soldiers  of  expeditionary  forces 
other  than  Australians  as  they  are  by  members  of 
our  own  Impel  ial  Forces.  I  count  myself  fortu- 
nate beyond  measure  to  be  serving  in  this  great 
war  with  the  Australian  Imperial  Forces."  • 


The  following  are  the  necessary  qualifications 
and  conditions  of  service  for  members  of  the 
temporary  Air  Force  Nursing  Service  : — 

A.  cdNSTITUTION. 

(i)  Matron-in-Chief,  (2)  Matrons,  (3)  Superin- 
tending Sisters,  (4)  Sisters,  (5)  Staff  Nurses. 

B.  QUALIFICATIONS. 

A  candidate  for  appointment  in  the  Royal  Air 
Force  Nursing  Service  must  be  duly  qualified 
according  to  the  following  regulations  : — 

She  must  possess  a  certificate  of  not  less  than 
three  years'  training  in  a  civil  hospital,  having 
not  less  than  100  beds. 

She  must  be  of  British  parentage  and  between 
25  and  45  years  of  age,  single  or  a  widow. 

The  Matron-in-Chief  will  be  required  to  satisfy 
the  Advisory  Board  that,  as  regards  education, 
character  and  social  status,  the  candidate  is  a  fit 
person  to  be  admitted  to  the  Royal  Air  Force 
Nursing  Service.  f"' 

The  candidate  will  be  required  to  fill  in  and 
return  the  form  of  application  which  will  be 
forwarded  to  her,  together  with  the  following 
documents  : 

(a)  Certificate  of  birth,  or  if  this  is  not  obtainable, 
a  declaration  made  before  a  magistrate  by  one  of 
her  parents  or  former  guardians^  giving  the  date 
of  her  birth.  ' 

(b)  Certificate  of  training  (original  to  be  produced 
when  appearing  before  the'  Sub-Committee  of 
the  Advisory  Board). 

(c)  Medical  certificate. 
{d)  Dental  certificate. 

It  is  required  that  the  candidate  should  have 
been  vaccinated  within  the  last  two  years  and 
also  inoculated  against  typhoid  (A.  and  B.). 

f  r^F^C.' TERMS  ,OF  APPOINTMENT. 

Forms  of  Agreement  will  be  signed  by  candidates 
who  are  willing  to  serve  : — 

{A)  So  long  as  required  during  the  present 
emergency,  or  (B)  for  a  period  of  twelve  calendar 
irionths. 

D.  PAY  AND  ALLOWANCES. 


Initial 

Annual 
Incre- 
ment. 

Maxi- 

Wash- 

Uni- 

— 

Rate. 

mum. 

ing:. 

form. 

Matrons 

£7^* 

£10 

;^150 

^ 

Superintending 

3/6 

£8 

^•isters 

£60* 

£s 

£is 

\    per 

per 

Sisters 

i^5o 

£-. 

£eo 

week 

annum 

Staff  Nurses... 

£40 

£2  I  OS. 

£45 

^ 

•  And  chargfe  pay. 

When  quarters,  board,  fuel  and  light  are  not 
provided,  a  stated  allowance  is  made. 

A  gratuity  of  ;^2o  per  annum  is  allowed  to 
Sisters   and   Staff   Nurses   who   sign   Agreement 


I40 


Zbc  Britteb  3ournal  of  IRurstno. 


August  31,   1918 


Form  A.,  for  serving  as  long  as  required  during 
the  present  emergency. 

E.  LEAVE  OF  ABSENCE. 
Twe'nty-eight  days'  leave   of  absence  without 
deduction  of  pay  will  be  allowed  in  each  period 
of  twelve  months,  i.e.,  fourteen  days  on  completion 
of  each  six  months. 

F.  DRESS. 

The  members  of  the  Royal  Air  Force  Nursing 
Service  are  to  provide  themselves  with  the  follow- 
ing uniform  :— 

The  establishments  selected  to  supply  it  will 
be  intimated  to  them  on  application  to  the  Matron- 
in-Chief. 

Matron-in-Chief. 

Dress  :  R.A.F.  material,  faced  and  braidedj 
cape  :  R.A.F.  blue  cloth  ;  bonnet :  R.A.F.  blue. 

Matrons. 

One  winter  dress,  serge  R.A.F.  blue  ;    i  summer 

dress  (alpaca),  R.A.F.  blue  ;  6  muslin  caps  R.A.F. 

blue  ;  6  collars  (soft)  i^in.  turnover  ;  6  pairs  cuffs 

(soft)  I J  in.  turnover  ;  2  cloth  capes  R.A.F.  cloth  ; 

1  bonnet    R.A.F.  blue  ;    i  summer  cloak  (serge) 
and  I  winter  cloak  (serge),  R.A.F.  cloth  collars. 

In  hospitals,  where  Matrons  are  required  to 
nurse,  3  washing  dresses  and  5  aprons  should  be 
substituted  for  i  alpaca  dress. 

Superintending  Sisters  and  Sisters. 

One  winter  dress  and  i  summer  dress,  serge, 

R.A.F.  colour  ;  3  washing  dresses,  blue  cottoa  ; 

6  muslin  caps  ;  6  collars  (soft),  i  J-inch  turnover  ; 

6  pairs  cuffs  (soft),  ij-inch  turnover;  8  aprons; 

2  cloth  capes,  R.A.F.  cloth  ;  i  summer  hat,  straw, 
three-cornered  ;  i  winter  hat,  felt,  three-cornered. 

Staff  Nurses. 

One  winter  dress  ;  i  summer  dress  ;  3  washing 
dresses;  6  muslin  caps;  6  collars  (soft),  i^-inch 
turnover  ;  6  pairs  cuffs  (soft),  ij-inch  turnover  ;  8 
aprons  ;  2  cloth  capes. 

In  no  detail  whatsoever  may  the  approved 
uniform  be  altered  or  added  to. 

In  uniform,  no  furs,  ornaments  or  jewellery  are 
to  be  worn,  neither  coloured  shoes  nor  coloured  or 
fancy  stockings. 

Muslin  caps  are  not  to  be  worn  outside  the 
precincts  of  the  hospital. 

Waterproof  caps  of  regulation  material  and 
design  may  be  worn  in  bad  weather  in  place  of  hats. 

Waterproofs  may  be  worn  when  necessary,  but 
must  be  the  same  colour  as  the  uniform,  and  of 
trench  coat  design. 

G.  HONORARY  RANK. 

Honorary  rank  in  the  Royal  Air  Force  will  te 
granted  as  follows  : — 

Matrons-in-Chief  . .  Major. 

Matrons   . .  . .  . .   Captains. 

Superintending  Sisters  . .         „ 
Sisters       .  .  . .  . .   Lieutenants. 

Staff  Nurses       . .  . .  2nd  Lieutenants. 


CARE    OF    THE    WOUNDED. 


The  King  has  granted  unrestricted  permission^to 
Miss  Henrietta  Eraser,  Ambulance  Driver  attached 
to  Section  Sanitaire,  S.S.Y.  2,  to  wear  the  Cross 
of  Chevalier  of  the  Legion  of  Honour  with  the 
Croix  de  Guerre,  conferred  upon  her  by  the  Presi- 
dent of  the  French  Republic  in  recognition  of  her 
courageous  conduct  when  wounded  recently  while 
on  duty  ;  to  Miss  Muriel  Annie  Thompson,  First 
Aid  Nursing  Yeomanry,  to  wear  the  Cross|J]of 
Chevalier  of  the  Order  of  Leopold  II,  conferred 
upon  her  by  the  King  of  the  Belgians  in  recognition 
of  her  services  to  the  Belgian  sick  and  wounded  ; 
and  to  Miss  Frances  Elizabeth  Latham  to  wear  the 
Insignia  of  the  Fifth  Class  of  the  Order  of  St.  Sava, 
conferred  upon  her  by  the  King  of  Serbia  in  recog- 
nition of  her  services  to  the  Serbian  sick  and 
wounded. 


The  Lord  Mayor  has  undertaken  to  make  a 
special  appeal  to  the  City  of  London  for  funds  for 
the  British  Red  Cross  and  the  Order  of  St.  John  in 
connection  with.  Our -Day,  October  24th,  and  the 
collection  of  j^i, 000,00c  in  the  City  is  the  aim  of  his 
committee.  The  offices  of  the  City  appeal  are  at 
3,  Lombard  Street,  and  the  honorary  organising 
scretary  is  Mr.  J.  H.  Estill,  of  the  Port  of  London 
Authority. 


Miss  Emma  and  Miss  Kate  Lansing,  Sisters  of 
the  American  Foreign  Secretary,  who  are  serving 
with  the  American  Red  Cross,  have  been  men- 
tioned in  an  Order  of  the  Day  of  the  5th  French 
Army  for  courageous  conduct. 


More  than  6,000  women  motor-drivers  have  now 
been  enrolled  in  the  United  States  in  the  Women's 
Motor  Corps  of  the  Red  Cross.  These  women 
carry  all  official  telegrams  containing  information 
regarding  oversea  casualties  to  the  homes  of  the 
relatives  of  the  killed. 


President  Wilson  has  approved  the  suggestion  of 
the  Women's  Committee  of  the  Council  of  National 
Defence  that  relatives  of  American  soldiers  and 
sailors  lost  in  the  Service  wear  a  black  sleeve-band 
with  a  gold  star  for  each  member  of  the  family 
giving  his  life  for  the  defence  of  the  nation. 


OUR   ROLL   OF   HONOUR. 

We  regret  to  record  the  following  announce- 
ments in  the  Casualty  List. 

NURSING    SERVICE. 
Killed. 
Ingram,  Miss  E.  A.,  V.A.D. 

Died. 
Chapman,  Miss  M.  D.,  V.A.D. 

Wounded. 
Thompson,  Sister  M.  C,  St.  John  A.B. 
Harrison,  Miss  A,  V.A.D. 


August  31,   1918 


^be  Briti0b  3ournal  of  •Rurstno. 


141 


THE    COLLEGE    OF    NURSING,    LTD., 
AND    POOR    LAW    GUARDIANS. 


A  COLONIAL  OPINION. 


A  good  de  al  of  feeling  has  been  aroused  amongst 
Poor  Law  Guardians  by  the  Council  of  the  College 
of  Nursing,  Ltd.,  sending  the  following  circular  of 
inquiry  over  their  heads  to  the  Matrons  of  Poor 
Law  Infirmaries — as  in  this  breach  of  etiquette 
the  College  has  failed  to  recognize  that  the  Poor 
Law  Infirmaries  are  public  institutions  admims- 
stered  under  legal  rules,  and  the  Guardians  are  the 
authorized  channel  by  which  information  is 
officially  conveyed.  The  circular  has  also  been 
addressed  to  Matrons  of  voluntaiy  hospitals. 
No  doubt  in  both  cases  the  Matrons  will  obtain 
permission  from  their  Boards  before  complying 
with  the   demands   of  the    College. 

The  College  and  Hospital  Etiquette. 
The  College  of  Nursing,  Limited, 
6,  Vere  Street,  Cavendish  Square,  London,  W.  1. 
The  Matron, 

Dear  Madam, — The  objects  of  the  College  of  Nursing 
will  be  known  to  you  as  including  the  following  : — To 
raise  the  standard  of  training,  to  promote  a  uniform 
curriculum  and  one  portal  examination,  to  establish 
lectureships  and  scholarships,  and  to  make  and  maintain 
a  Register  of  Trained  Nurses. 

Up  to  the  present  the  Council  of  the  College  has 
largely  centred  its  activities  on  the  compilation  of  a 
Register  which  now  numbers  8,800  nurses,  and  the 
Registration  Committee  acknowledges  most  gratefully 
the  help  and  information  you  have  given  concerning 
applications  for  registration. 

The  Consultative  Committee,  appointed  to  consider  the 
curricula  of  Training  Schools,  now  appeals  to  you  for 
further  assistance  in  this  important  matter. 

Before  considering  any  plans  for  the  future,  the  wisest 
course  would  appear  to  be  to  ascertain  what  is  the  pre- 
sent curriculum  in  the  different  Nurse  Training  Schools, 
and  it  would  materially  assist  the  work  of  this  Com- 
mittee if  you  would  kindly  supply  the  information  re- 
quested on  the  following  form,  and  any  other  particulars 
you  may  have  that  would  be  helpful  in  the  matter. 

With  apologies  for  the  trouble  I  am  giving  you, 

I  remain,  yours  faithfully, 

M.  S.  RUNDLE,  Secretary. 

QUESTIONS. 

1.  For  what  period  of  training,  or  periods,  do  you 
grant  your  Certificate  of  General  Nursing? 

2.  Is  sick  leave,  or  any  time  beyond  recognised  annual 
leave,  made  up  after  the  period  of  training? 

3.  What  Lectures  are  delivered  to  Probationers,  and 
if  you  have  a  Syllabus,  will  you  kindly  send  it? 

4.  Are  your  Nurses  instructed  in  Sick  Room  Cookery? 

5.  Are  the  Examinations  written  and  oral?  How  often 
are  they  held  during  the  period  of  training,  and  by  whom 
are  they  conducted? 

6.  What  Beds  have  you  besides  those  for  General 
Medical  and  Surgical  cases? 

7.  Are  any  facilities  offered  in  the  fourth  year  for  pre- 
paration in  special  branches  of  work,  e.g..  Massage, 
Midwifery,  &c.  ? 

Space  is  provided  for  the  answers,  and  for  the 
signature  thereto  of  the  Matix>n  or  Superintendent 
of  Nursing. 


The  following  letter  appears  in  the  issue  of  Una, 
the  official  organ  of  the  Royal  Victorian  Trained 
Nurses'  Association,  just  received  in  this  country  : 

To  the  Editor  of  "  Una.'' 

Dear  Sir, — I  notice  with  surprise  that  up  to  the 
present  time  you  have  not  in  our  nursing  journal 
attempted  to  voice  an  opinion  upon  the  College  of 
Nursing  which  is  now  being  launched  in  London 
by  Sir  Arthur  Stanley.  ...  It  is  of  real  live  interest 
in  the  nursing  circles  of  Great  Britain,  and  as 
fellow-nurses  I  think  it  is  about  time  we  roused 
ourselves  and  became  acquainted  with  the  facts. 

I  have  always  been  an  advocate  of  direct  repre- 
sentation upon  any  board  or  council  of  nurses.  I 
fail  to  see  how  any  lay  control  can  ever  be  the  right 
thing  in  -the  interests  of  the  nurses  themselves. 

Sir  Arthur  Stanley  holds  the  position  of  Trea- 
surer of  St.  Thomas'  Hospital  as  well  as  that  of 
Chairman  of  the  British  Red  Cross  Society.  His 
knowledge  of  the  nursing  profession  would  neces- 
sarily be  that  of  an  employer.  There  are  several 
matrons  of  large  hospitals  also  connected  with  the 
college.  This  I  do  not  consider  advisable,  as  after 
years  of  work  with  committees,  &c.,  they  more  or 
less  acquire  the  institutional  mind.  The  general 
nurse  wants  someone  in  power  who  will  be  able  to 
entertain  her  point  of  view  in  dealing  with  items 
of  nursing. 

Here  in  Victoria  the  personnel  of  the  Council  of 
the  R. V.T.N. A.  is  regulated  by  the  nurse  voters, 
who  elect  members  once  a  year.  A  few  are 
nominated  by  the  committees  of  the  special  training 
schools,  and  the  appointment  ratified  by  the 
Council.  In  most  cases  the  hospitals  suggest  their 
matrons. 

The  readers  of  Una  will  well  remember  the  firm 
stand  this  Council  took  when  the  then  Minister  of 
Health  decided  that  there  be  no  nursing  member 
upon  the  proposed  board  to  administer  the  State 
Registration  Bill  for  nurses  In  the  opinion  of 
those  best  qualified  to  know,  it  was  considered  that 
it  would  be  better  to  have  no  Bill  at  all  unless  the 
profession  to  be  governed  and  regulated  had  a  voice 
in  the  administration. 

When  I  was  in  London,  in  1912,  Mrs.  Bedford 
Fenwick  and  Dr.  Chappie — ^^who,  by  the  way,  was 
once  in  New  Zealand — were  working  for  their  Bill, 
which,  if  I  remember  rightly,  was  introduced  into 
the  House  of  Commons  by  our  present  Governor- 
General,  Sir  R.  Munro  Ferguson,  who  passed  it 
over  to  Dr.  Chappie  when  leaving  England.  The 
aims  and  ideals  of  their  proposed  Bill  seemed  much 
the  same  as  the  objects  we  are  striving  for.  As  a 
keen  registrationist  I  warmly  support  them  in  their 
efforts,  as  it  appears  to  be  the  best  course  to  uplift 
and  safeguard  the  nursing  profession.  I  hope  now 
that  90  many  nurses  are  eligible  as  women  voters 
they  will  strive  to  place  the  important  r61e  they  try 
to  maintain,  viz.,  the  health  of  a  nation,  before 
their  Parliamentary  representatives,  so  that  their 
services  may  become  more  efficient. — I  am,  &c., 

Gretta  Lyons. 


142 


ZDc  Britleb  Sournal  ot  flurelnfi. 


August  31,   1918 


REGISTRATION  PROPOSALS  IN 
VICTORIA. 

Bills  for  the  registration  of  nurses  and  of 
masseurs  will  be  introduced  into  the  State  Parlia- 
ment in  Victoria,  Australia,  in  the  forthcoming 
session.  It  is  proposed  that  the  Governing  Body 
under  the  Nurses'  Bill  shall  be  composed  of  repre- 
sentatives of  the  medical  and  nursing  professions, 
the  general  public,  and  the  Government. 


NURSING  ECHOES. 


LEGAL  MATTERS. 


Eva  Grace  Thompson,  of  Blackheath,  was  again 
brought  up  on  remand  at  Greenwich  last  week, 
charged  with  the  wilful  murder  of  Kenneth  Cedric 
Goodman,  an  infant  aged  eleven  weeks,  by  striking 
him  on  the  head,  on  or  about  June  4th,  at  the 
Sydenham  Infant  Welfare  Centre.  The  prisoner 
was  defended  by  Mr.  G.  W.  Jones,  and  Sir  Richard 
Muir  appeared  for  the  Director  of  Public  Prosecu- 
tions. Miss  Muriel  Payne,  the  Superintendent  of 
the  Centre,  said  that  the  prisoner,  a  trained  nurse, 
was  alone  in  charge  of  the  patients  for  several 
nights. 

Medical  evidence  was  given  by  Dr.  Gladstone, 
Medical  Officer  of  the  Centre,  and  Lieut. -Colonel 
F.  S.  Toogood,  R.A.M.C.,  in  reference  to  post- 
mortem examinations  on  various  children  at  the 
Centre  whose  skulls  were  found  to  be  fractured. 

The  prisoner  was  again  remanded. 

APPOINTMENTS. 


MATRON. 

Isolation  Hospital,  Mortlake,  S.W.  14.  —  Miss 
Mary  Grace  Lloyd  has  been  appointed  Matron. 
She  was  trained  at  Guy's  Hospital,  and  held 
various  positions  of  responsibility  before  being 
appointed  Matron  at  the  Accident  Hospital, 
Rhymney. 

SISTER. 

St.  Mary's  Hospital,  Plaistow,  E.  13.  —  Miss 
E.  E.  Hibberd  has  been  appointed  Sister  on  the 
Children's  Floor.  She  was  trained  at  the  Lewis- 
ham  Infirmary,  and  has  been  staff  nurse  at  the  St. 
Mary's  Hospital,  Plaistow. 


PRESENTATION. 

Miss  Gregory,  who  for  twenty-one  years  has 
held  the  position  of  Matron  at  the  Aldershot 
Hospital,  has  been  presented  by  the  management 
committee  with  a  solid  silver  Georgian  tea  service 
and  salver  ;  and  a  gold  watch  has  been  presented 
to  Mr.  W.  Wren,  its  Hon.  Secretary,  who  has  also 
been  associated  with  the  work  from  the  start. 


LAVENDER    BAGS    FOR    LINEN 
CUPBOARDS. 

The  Editor  will  be  pleased  to  distribute  lavender 
bags  to  military  hospitals  in  London,  if  friends 
have  any  to  spare.  Address  to  20,  Upper  Wim- 
pole  Street,  London,  W.  i. 


Members  of  the  Royal  British  Nurses' 
Association  will  have  a  specially  warm  welcome 
for  their  Secretary,  Miss  Isabel  Macdonald, 
who  returns  to  town  this  week,  and  who  has 
had  during  her  holiday  in  Scotland  an  experi- 
ence which  might  not  have  had  a  happy  ending. 
Miss  Macdonald  writes  : — "  We  had  a  very 
exciting  evening  yesterday  ;  we  went  out  to  fish 
without  boatmen,  and  one  of  the  worst  squalls 
the  boatmen  remember  on  the  loch  came  on 
unexpectedly.  Oars  were  no  more  useful  than 
teaspoons,  and  we  had  an  exciting  hour,  twenty 
minutes  of  which  was  a  very  grim  struggle. 
My  brother  said  that  had  it  been  a  nervous 
person  with  him  we  never  would  have  survived, 
for  every  time  the  boat  went  down  between  the 
vA'aves  the  least  excited  movement  would  have 
upset  it.  At  last,  after  a  terrific  struggle  on 
the  part  of  the  two  men,  we  managed  to  get 
the  boat  up  to  a  small  island,  climbed  over  the 
side  and  waded  in.  About  nine  it  seemed  a 
little  better,  so  we  made  for  the  Castle  (Loch 
Leven)  Island,  and  just  managed  to  reach  it, 
which  was  consoling,  as  it  meant  the  shelter  of 
the  ruin,  and  a  possible  fiire  if  we  had  to  spend 
the  night  out  there.  However,  a,  club  had  been 
watching  us  with  glasses  from  the  shore,  and 
later  two  boatmen  came  and  took  us  off,  but 
it  took  all  the  strength  of  them  and  the  other 
two  to  make  the  shore.  They  told  my  brother 
very  frankly  that  they  would  not  have  cared 
for  him  or  his  friend,  but  they  were  not  going 
to  let  the  '  leddy  '  spend  the  night  out  there  if 
it  was  possible  to  get  back,  so  don't  say  the 
age  of  chivalry  is  dead  while  there  are  boatmen 
on  the  Scottish  lochs  !  When  the  adventure 
was  over  it  was  entertaining,  but  at  one  stage 
we  thought  each  wave  would  capsize  the  boat, 
and  the  water  touched  my  fingers  as  I  held  on 
to  the  side." 


Nurse  Reid,  of  Dunleer,  has  just  tendered 
her  resignation  to  the  Ardee  Guardians,  after 
thirty  years'  service.  In  asking  a  super- 
annuation allowance,  she  stated,  says  the 
General  Advertiser,  she  had  not  had  an  increase 
in  her  salarv  all  that  time. 


Mr,  James  P.  Chrystal,  the  Chairman  of 
the  St.  George's  Hospital  Nursing  Association, 
Bombay,  in  moving  the  adoption  of  the  annual 
report  at  the  Annual  General  Meeting  of  sub- 
scribers, held  in  Killick  Buildings  on  June  loth, 
said,  in  part : — 

"  It  will  be  observed  from  the  report  that 
considerable  difficulty  is  being  experienced  in 


August  31,   1918 


Cbe  British  3ournal  of  iRursma. 


M3 


securing  suitable  probationers  for  training  in 
the  hospital,  and  also  in  maintaining  the 
numbers  on  the  Private  Nursing  Staff.  The 
chief  cause  for  the  former  difficulty  is  found  to 
be  the  wide  scope  of  better-paid  employment 
for  young  women  in  work  connected  with  the 
war  and  the  attractions  of  the  V.A.D.  work 
in  the  war  hospitals.  The  high  nursing  fees 
obtainable  from  the  public  by  private  nurses 
■working  on  their  own  make  it  more  profitable 
for  nurses  to  commence  nursing  independently 
whenever  they 
have  completed 
their  period  of 
training  and  ob- 
tained their  certi- 
ficates of  qualifica- 
tion. To  in  some 
measure  counter- 
act this  effect  the 
Committee  have 
recently  raised  the 
grades  of  salaries 
of  the  Private 
Nursing  Staff,  and 
they  hope  under 
the  new  schedule 
that  this  staff  may 
be  strengthened. 
To  meet  this  extra 
expenditure  and 
the  additional  cost 
o  f  maintenance 
due  to  a  depleted 
staff  it  has  been 
necessary  to  in- 
crease the  charge 
for  a  nurse  by 
Re.  I  per  day. 


"  During  the 
past  year  the  work 
in  the  wards  of  the 
hospital  has  been 
particularly  heavy 
and  arduous.  The 
small -pox  epi- 
demic and  other 
infectious        cases 

have  called  for  a  good  deal  of  isolated  nursing, 
which  throws  a  great  additional  strain  on  the 
staff,  and  I  desire  to  express  the  Committee's 
appreciation  of  the  devoted  manner  in  which  the 
nurses  have  met  the  extra  strain  thus  thrown 
upon  them. 


MISS    CHARLOTTE     RICHA\OND     MILL. 
Kaisar-i-Hind  Medal,  Matron  St.  Qeorge's  Hospital,  Bombay 


on  Miss  Mill,  the  Lady  Superintendent  of  St. 
George's  Hospital.  The  award  of  the  Kaisar- 
i-Hind  medal  is  a  high  mark  of  Government's 
appreciation  of  her  long  and  honourable  nurs- 
ing career  in  India.  Miss  Mill  was  brought  out 
to  India  with  one  of  the  first  drafts  of  Nursing 
Sisters  in  the  early  days  of  plague,  and  she 
remained  in  Government  service  till  1902,  when 
she  was  permitted  to  join  this  Association  as 
its  Lady  Superintendent  when  it  took  over  the 
nursing  of  the  hospital  from  the  Sisters  of  All 

Saints.  The  St. 
George's  H  o  s  - 
pital  Nursing 
Association  was 
the  first  of  all  the 
Nursing  Associa- 
tions in  India,  and 
Miss  Mill  was  con- 
sequently the  first 
Lady  Superin- 
tendent of  such  an 
Institution  in  this 
country.  Her 
administration  of 
the  nursing  staff 
during  the  last 
fifteen  years  has 
found  great  accep- 
tance with  the 
Committee  and 
the  surgical  and 
medical  officers  at 
the  hospital,  and 
her  sense  of 
equity  and  justice, 
combined  with  her 
ability  in  training 
the  nurses  under 
her  care,  has 
always  won  for 
her  the  staff's 
respect  and 
esteem.  It  there- 
fore gives  me 
great  pleasure  to 
take  this  opportu- 
nity of  conveying 
to  Miss  Mill  this 
Association's  warmest  congratulations  on  the 
public  recognition  which  her  services  have  so 
deservedly  received." 


"  I  cannot  conclude  my  remarks  without 
referring  with  peculiar  pleasure  to  the  honour 
which  has  just  been  conferred  by  Government 


The  Bloemfontein  Hospital  Board  has  (says 
the  South  African  Nursing  Record)  raised  the 
question  of  nurses'  hours,  and  considerable 
discussion  took  place  on  the  subject.  There 
seemed  to  be  a  general  agreement  that  some- 
thing on  the    lines   of  the    recent   Transvaal 


J  44 


Zhc  Brttteb  3ournal  of  iRursino. 


August  31,   1918 


Ordinance  was  required,  though  the  possibility 
of  three  eigfht-hour  shifts  a  day  was  also  men- 
tioned. Our  contemporary  continues  : — **  We 
are  greatly  averse  to  excessively  long  hours  for 
nurses,  and  we  think  that  they  could  in  many 
cases  be  shortened  with  advantage.  At  the 
same  time  we  should  not  like  to  see  a  matron's 
powers  in  this  direction  too  rigidly  limited. 
Off  and  on  duty  hours  could  well  be  adjusted 
to  meet  the  needs  of  the  institution  at  any  par- 
ticular time,  and  we  do  not  think  that  either 
nurses  themselves  or  the  public  will  deny  that 
it  should  be  the  privilege  of  the  administrative 
head  of  a  hospital  to  call  upon  the  staff  to  work 
overtime  if  the  welfare  of  sick  people  depends 
upon  it,  and  provided  that  justice  is  always 
done.  This  call  to  self-sacrifice  and  the  liability 
to  uncertain  and  exhausting  hours  is  one  of  the 
conditions  both  doctors  and  nurses  accept  when 
they  take  up  the  work,  and  is  part  of  the  dis- 
cipline of  our  profession.  We  know  that  both 
these  classes  of  workers  recognise  it  them- 
selves gladly." 

*' INTERN   THEM  ALL." 


No  one  who  watched  the  procession  which 
streamed  down  Oxford  Street  on  its  way  to 
Trafalgar  Square  last  Saturday  afternoon  after 
the  great  meeting  in  Hyde  Park,  to  demand  the 
internment  of  all  enemy  aliens,  naturalised  or 
unnaturalised,  could  be  in  any  doubt  as  to  the 
temper  of  the  People  on  this  question,  or  of  the 
wisdom  of  the  National  Party  in  organising  the 
demonstration. 

Brigadier-General  Page  Croft,  who  presided  at 
the  principal  platform  in  the  Park,  emphasised 
his  conviction  that  the  right  poUcy  is  to  "  intern 
thera  all."  And  the  Government  must  begin 
with  the  dangerons  wealthy  Hun.  Of  what  use  is 
it  to  penalise  the  poor  when  the  rich,  who  have 
bought  themselves  power,  and  who  consequently 
count,  are  at  large  ?  All  must  be  interned  in  the 
interests  of  national  safety. 

Mrs.  Dacre  Fox  was  as  emphatic  as  General 
Page  Croft.  She  was  "  out  for  the  internment  of 
every  alien  of  enemy  blood,  naturalized  or  un- 
naturalized." She  moved  the  following  resolution, 
which  was  carried  by  acclamation  at  all  five 
platforms  : — 

"  This  meeting,  representative  of  all  sections  of 
his  Majesty's  subjects  in  the  United  Kingdom 
and  the  British  Dominions  beyond  the  seas,  calls 
upon  his  Majesty's  Government  to  lose  no  further 
time  in  interning  every  enemy  alien;  in  de- 
naturalising those  naturalised  during  the  war  or 
ten  years  prior  thereto  ;  in  immediately  removing 
every  enemy  a'ien  irom  Government  employ- 
ment, and  generally  in  taldng  diastic  steps  to 
eradicate  all  enemy  influence  throughout  the 
country." 


Amongst  the  inscriptions  on  the  banners  borne 
in  the  procession  were  : 

"  Before  you  vote   for  a   Party  ask    where 

their  Funds  came  from." 
"  No    German   has   ever   subscribed  to   the 

National   Party,    can  other  Parties  say 

the  same  ?  " 
"The  National  Party  has  No  Secret  Funds." 

The  Monster  Petition  to  the  Prime  Minister, 
including  over  a  million  signatures,  was  presented 
at  No.  10,  Downing  Street  by  General  Page  Croft, 
who  subsequently  leported  the  result  to  the 
waiting  meeting  in  Trafalgar  Square,  on  which 
the  meeting  passed  a  resolution,  expressing  its 
regret  and  dismay,  that  the  message  of  the  Prime 
Minister  clearly  indicated  that  his  Majesty's 
Government  does  not  appreciate  the  deep 
National  feeling  with  regard  to  aliens  at  large. 
In  forwarding  the  resolution  General  Page  Croft, 
in  an  open  letter,  has  requested  the  Prime 
Minister  to  state  the  earliest  date  on  which  ho 
will  personally  receive  a  deputation,  and  adds  : — 

"  On  behalf  of  the  demonstrators  repre- 
senting the  National  Party,  the  British  Empire 
Union,  the  Discharged  Soldiers'  and  Sailors' 
Association,  and  many  other  kindred  bodies,  may 
I  take  this  opportunity  of  impressing  upon  you 
the  intense  feeling  which  exists  throughout  the 
country  on  this  subject,  and  my  fear  that,  unless 
immediate  steps  are  taken  to  intern  all  enemy 
aliens,  whether  rich  or  poor,  confidence  in  your 
Government  may  be  impaired  at  this  time  when 
nationa.l  unity  is  essential  if  complete  victory  is 
to  be  secured." 


FORT-REVIVER. 

Newman's  Fort-Reviver  is  a  beverage  which  has 
quickly  won  its  way  to  public  favour,  and  has  many 
points  to  recommend  it.  As  its  name  implies,  it  is 
a  stimulant,  and,  moreover,  a  stimulant  which  is 
non-alcoholic,  which  will  commend  it  to  a  large 
section  of  the  public.  If  taken  with  this  object  it 
should  be  undiluted,  but  it  is  also  a  pleasant  "  long 
drink  "  when  taken  with  aerated  water.  It  is 
obtainable  everywhere,  the  large-sized  bottles  being 
5s.  6d.,  and  the  smaller  3s.  gd.  If  any  difficulty, 
is  experienced  in  obtaining  it  application  should  be 
made  to  Messrs.  H.  &  C.  Newman,  London  Office, 
41  and  42,  Upper  Rathbone  Place,  W.  i. 

The  Great  Northern  Central  Hospital  has 
received  from  the  staff  of  the  Argentine  Estates 
of  Bovril,  Ltd.,  a  remittance  for  £^g,  for  the 
maintenance  of  the  Santa  Elena  Bed  in  the 
Hospital's  Military  Annexe,  Manor  Gardens — 
as  well   as   other   overseas   donations. 


The  Entente  Cordiale  has  found  recent  expression 
In  the  arrangements  made  with  Charing  Cross 
Hospital  for  the  reception  for  three  months  of 
French  nurses  endorsed  by  the  French  Red  Cross, 
so  that  they  may  get  an  insight  into  English 
methods. 


August  31,  1918 


(Tbe  3Brttt0b  3ournal  of  TRursino. 


^45 


OUTSIDE    THE    GATES. 


BOOK    OP  THE   WEEK. 


WOMEN. 

The  Deputy  Registration  Officer  at  Enfield, 
when  asked,  on  August  30th,  whether  nurses 
in  hospitals  or  institutions  who  had  separate 
sleeping  apartments  or  shared  rooms  in  common 
with  other  nurses  were  entitled  to  the  vote,  said 
that  unless  it  could  be  proved  that,  as  part  of  her 
contract  or  engagement,  a  nurse  was  definitely 
entitled  to  the  use  of  a  specific  room  and  could 
not  be  removed  without  due  notice,  she  could 
not  be  accepted  as  occupying  the  room  for  the 
purposes  of  the  Act. 


In  view  of  this  decision  it  is  extremely  in- 
teresting to  consider  the  usage  at  Charing  Cross 
Hospital  in  regard  to  the  nurses'  quarters. 

1.  All  the  nurses  have  latchkeys  to  the  Nurses' 
Home. 

2.  Every  nurse  has  a  bedroom  allotted  to  her 
when  she  enters  the  hospital  for  training,  and 
keeps  it  throughout  the  period  of  four  years, 
whether  on  day  or  night  duty,  except  in  a  very 
few  instances  when  a  nurse  asks  to  be  allowed  to 
change  her  room. 

3.  The  locks  on  the  bedroom  doors  are  similar 
to  those  on  hotel  doors.  If  a  nurse  takes  her 
key  out  of  her  bedroom  door  it  can  only  be 
opened  by  the  matron  with  her  pass  key,  and  by 
the  servant  of  the  landing  who  has  a  pass  key 
for  cleaning  purposes,  so  the  nurse's  room  is 
really  her  own. 

The  Town  Clerk  and  registration  officer  of 
Oxford  City,  M-.  Richard  Bacon,  had  an  important 
point  to  decide  in  the  revision  court  on  August  21st. 

A  number  of  the  wives  of  Oxford  Dons,  according 
to  the  Times,  claimed  to  be  on  the  lists,  but  the 
Town  Clerk  pointed  out  that  Section  257  of  the 
Municipal  Corporations  Act  provided  that  nothing 
in  that  Act  should  entitle  any  person  to  be  enrolled 
as  a  citizen  of  the  city  of  Oxford  by  reason  of  his 
occupation  of  any  rooms,  chambers,  or  premises 
in  any  college  or  hall  of  the  University .  Persons 
so  occupying  were,  prior  to  the  Act  of  1918,  placed 
on  the  Parliamentary  but  not  on  the  municipal 
list.  Unfortunately,  in  the  new  Act  the  lady's 
vote  depended  on  her  possessing  the  municipal 
vote,  either  in  her  own  right  or  that  of  her  husband. 
In  the  case  under  consideration,  if  the  Warden  of 
Wadham  admitted,  as  he  now  did,  that  he  was  not 
entitled  to  what  was  called  the  Local  Government 
vote,  which  was,  of  course,  here  the  burgess  vote, 
his  wife  lost  in  consequence  not  only  her  Local 
■Government  vote  but  also  her  Parliamentary  vote. 
That,  he  thought,  was  regrettable.  It  could  never 
have  been  intended  by  Parliament,  and  he  thought 
the  officers  of  the  Crown  in  drawing  the  Act,  or  the 
Parliamentary  draftsmen,  must  have  overlooked 
this  provision  in  the  Municipal  Corporations 
Act. 


"THAT    WHICH    HATH    WINGS."* 

A  book  by  Richard  Dehan,  author  of  "  The 
Dop  Doctor,"  is  certain  to  be  interesting  and 
arresting,  and  "  That  which  hath  Wings " 
is  true  to  type.  It  is  a  picture  of  Society  just 
before  and  during  the  war,  and  the  "  Dop  Doctor," 
now  established  in  a  fashionable  practice  in 
Harley  Street,  his  wife  Lynette,  and  their  boy 
Bawne — the  brave  Boy  Scout — play  a  prominent 
part  in  its  pages,  though  the  central  figures  are 
Francis  Athelstan  Sherbrand",  Viscount  Norwater, 
and  his  wife  Margot,  otherwise  known  as  "  Kit- 
turns." 

"  It  was  a  genuine  love-match,  Franky  being,  a 
comparatively  poor  Guardsman  with  only  two 
thousand  a  year  in  addition  to  his  pay  as  a  Second 
Lieutenant  in  the  Royal  Bearskin 's  Plain,  and 
Margot  a  mere  Cinderella  in  comparison  with 
heiresses  of  the  American  canned-provision  and 
cereal  kind." 

It  seemed  to  Franky  that  all  his  wooing  had 
been  done  at  Margot's  Club,  though  he  actually 
proposed  to  her  at  the  Royal  Naval  and  Military 
Tournament ;  "  and  Margot,  hysterical  with 
sheer  ecstasy,  as  the  horses  gravely  played  at 
push-ball,  had  pinched  his  arm  and  gasped  out 
'  Yes,  but  don't  take  my  mind  off  the  game  just 
now — these  dear  beasts  are  so  heavenly.'  " 

"  The  honeymoon  might  have  been  termed  ideal 
— and  four  subsequent  months  of  married  life 
proved  tolerably  cloudless — until  Fate  sent  a 
stinging  hailstorm  to  strip  the  roses  from  the  bridal 
bower,  and  an  unexpected,  appalling,  inevitable 
discovery  made  in  Paris,  in  the  Grande  Semaine, 
utterly  ruined — ^for  two  people — ^the  day  of  the 
Grand  Prix  " — for  Margot  made  the  discovery — 
which  she  deeply  resented — ^that  the  crown  of 
motherhood  was  to  be  hers. 

"  '  I  can't  bear  it  !  I  won't  bear  it  !'  Margot 
reiterated.  With  her  tumbled  hair,  swollen  eyes, 
pink  uptilted  nose,  and  little  mouth  and  chin 
that  quivered  with  each  sobbing  breath  intaken, 
she  looked  absurdly  babyish  for  her  twenty  years, 
as  she  vowed  wild  horses  shouldn't  drag  her  to 
Longchamps,  and  railed  against  the  injustice 
of  Fate. 

"  '  None  of  my  married  friends  have  had  such 
rotten  bad  luck,'  she  asserted.  She  stamped 
upon  the  velvety  carpet  and  flashed  at  Franky 
a  glance  of  imperious  appeal.  '  Not  Tota  Stannus, 
or  Cynthia  Charterhouse,  or  Joan  Delabrarld,  or 
anybody  !  Then  why  me  !  That's  what  I  want 
to  know  !  After  all  the  mascots  I've  worn,  or 
carried  about  with  me  .  .  .  Gojo  and  Jollikins, 
and  the  jade  tree-frog  and  the  rest  !  .  .  .  Every 
single  one  given  me  by  a  different  woman  who 
had  been  married  for  years  and  never  had  a  baby  ! 
This  very  day  I'll  smash  the  whole  lot  !' 

"  '  By  the  Great  Brass  Hat !' 

"  Franky  exploded  before  he  could  stop  him- 
self, and  laughed  till  the  tears  rolled  down.     So 

*  Wm.  Heinemann,  21,  Bedford  St.,  W.C.    7/-  net. 


146 


JLbc  British  3ournal  of  IRureing. 


August  31,   1918 


'  Gojo  '  the  black  velvet  kitten,  and  Jollikins, 
and  all  the  army  of  gadgets  and  netsukis 
crowding  Maxgot's  toilette  table  and  seer  Hair  e, 
down  to  '  Pat-Pat,'  the  bog-oak  pig,  and 
'  Ti-ti,'  the  jade  tree-frog,  were  so  many  in- 
surances against  the  Menace  of  Maternity.  By 
Jove  !  women  were  regular  children  .  .  .  And 
Margot  .  .  .  Nothing  but  a  baby  this  poor  little 
Margot — agoing,  in  spite  of  Jollikins  and 
Gojo,    to    have    a  baby  of   her  own. 

"  '  What  is  one  to  believe  ?  Whom  is  one  to 
trust  in  ?' 

"  '  Trust  in  .  .  .  My  best  child,  you  don't 
mean  that  you  believed  those  women  when  they 
told  you  that  such  two-penny  gadgets  could  work 
charms    of — ^that   or    any    other   kind  ?' 

"  '  Indeed,  indeed  they  do  !  Tota  Stannus 
was  perfectly  serious  when  she  came  to  my  boudoir 
one  night  at  the  club,  about  a  week  before  our — 
the  wedding.  .  .  .  She  said — I  can  hear  her  now  : 
Well,  old  child,  you're  to  he  married  on  Wednesday, 
and  of  course  you  know  the  ropes  well  enough  not 
towantany  tips  from  me.  .  .  .  Still — ' 

"  '  That  wasn't  overwhelmingly  flattering,' 
Franky  commented,  '  from  a  woman  twice  your 
age.     What   else   did   she   say  ?' 

"  '  She  said  I  must  be  aware,'  went  on  Margot, 
'  that  a  woman  who  wanted  to  keep  her  friends 
and  her  figure,  simply  couldn't  afford  to  have 
kids  !' 

"  '  And  you — ' 

"  Franky  no  longer  battled  with  the  grin  that 
would  have  infuriated  Margot.  Something  had 
wiped  it  from  his  face." 

More  revelations  from  Margot,  till  at  length 
Franky  said  :  "  Look  here,  this  is — strict  Bridge. 
Do  you  loathe  'em — ^the  kiddies — so  horribly  that 
the  idea  of  having  any  is  distasteful  to  you  ? 
Or  is  it — not  only  the — the  veto  it  puts  on  larking 
and  kickabout  and — ^the  temporary  disfigurement 
— ^you're  afraid  of — ^but  the — the — ^the  inevitable 
pain.  .  .  .  Tell  me  frankly."  He  waited  an  instant 
and  then  said  in  an  urgent  whisper  :  "  Answer 
me  !  .  .  .  For  God's  sake,  tell  me  the  frozen  truth, 
Margot !" 

Poor  Margot — ^thoughtless,  irresponsible  little 
humming  bird — ^faced  with  the  realities  of  life, 
confessed  to  her  dread  of  the  ugliness  of  the  thing 
and  her  fear  of  the  pain — the  awful  pain.  "  '  And 
besides — my  mother  died  when  I  was  born  !' 
Margot's  voice  was  a  fluttering,  appealing  whisper  ; 
her  great  eyes  were  dilated  and  wild  with  terror." 

Franky,  out  of  his  love  for  his  wife,  able  to 
understand  something  of  her  mental  outlook, 
agreed  that  he  was  frightfully  sorry  for  her. 
"  All  the  more  so  because  I  can't  help  being 
thundering  glad."  Then  he  explained,  "  It's  got 
to  do  with  the  Peerage  .  .  .  naturally  enough — 
I  want  a  boy  to  take  the  Viscounty  when  I  succeed 
my  father,  and  have  the  Earldom  when  I've 
absquatulated,  just  as  the  kiddy'U  want  one 
when  his  own  time  comes." 

Later,  at  the  sight  of  a  mother  and  her  babe  in 
the  public  park,  "  a  dimness  came  before  his 
vision,    and   it   was   as   though   dimpled   hands 


plucked  at  his  heart.  He  suffered  a  sudden  revul- 
sion strange  in  a  young  man,  so  modern,  so 
up-to-date  and  beautifully  tailored.  He  knew 
that  he  longed  for  a  son  most  desperately.  And 
the    devil    of    it    was — ^Margot    did    not." 

Fate  decreed  that  Franky  and  Margot  should 
witness  the  trial  ascent  with  a  French  pilot  of  a 
British  monoplane  (the  Bird  of  War),  fitted  with 
an  invention  which  the  French  experts  were  there 
to  test  with  a  view  to  purchase.  The  inventor 
was  on  the  ground,  for,  as  a  French  of&cer  politely 
explained,  "  despite  the  Entente  Cordiale,  it 
would  hardly  be  convenable  or  discreet  to  permit 
even  an  Englishman  to  fly  over  Paris  or  any  other 
fortified  City  of  France." 

Franky,  as  he  watched  the  Bird  of  War  through 
his  pocket  field  glass,  was  sensible  o*  a  thrill  behind 
his  immaculate  waistcoat. 

"  If  the  English  inventor  had  not  solved  the 
baffling  Problem  of  Stability,  he  had  come  un- 
commonly near  it,  by  the  Great  Brass  Hat.  And 
the  dud  heads  at  Whitehall  had  shown  the  door  to 
him  and  his  invention.  '  Good  Christmas  !  how 
like  'em  !  '  reflected  Franky,  lowering  the  glasses 
to  chuckle  and  looking  round  for  Margot." 

We  first  make  the  acquaintance  of  Count  von 
Herrnung,  who  is  to  play  a  prominent  part  in  the 
story,  at  a  dinner  at  the  Hotel  Spitz  in  the  Place 
Vendome,  where  he  had  the  insolence  to  propose 
that  the  guests — some  of  whom  had  been  "  rot- 
ting "  him — should  drink  a  toast  "  to  show  there  is 
no  ill  will.  ...  It  would  be  amusing  if  you  would 
all  join  me  in  drinking  to  The  I^ay." 

"  Lord  Norwater  (Franky),  lobster  red  and 
rather  flurried,  turned  to  von  Herrnung,  and  said 
not  loudly,  yet  clearly  enough  to  be  heard  by  every 
guest  at  the  table — 

"  '  Stop  !  Sorry  to  swipe  in,  Count,  but  you'd 
better  not  order  that  wine,  I  think  !  ' 

"  '  You  think  not  ?  '  asked  von  Herrnung  with 
coolest  insolence. 

"  '  I — don't  think  so  ?  I'm  dead  sure  !  '  said 
Franky,  getting  redder.  '  We  Britons  laugh  at 
brag  and  blufiing  ;  and  the  gassy  patriotism  shown 
by  some  foreigners  we're  apt  to  call  bad  form. 
We  abuse  our  Institutions  and  rag  our  Govern- 
ments ;  we've  done  that  since  the  year  One — far  as 
I  can  make  out.  And  when  other  people  do  it 
we  generally  sit  tight  and  smile.  We've  no  use 
for  heroics.  But  when  the  pinch  comes — it  ain't  so 
much  that  we're  loyal,  we're  Loyalty  ;  we're  it  1 — 
We're  ready  to  make  allowances — too  rottenly 
ready  sometimes.  But  I  read  off  the  iddy-umpties 
to  Full  Stop,  a  minute  back.  Count  vor  Herrnung, 
when  you  ask  English  ladies  and  Englishmen — two 
of  'em  in  the  Service — to  drink  that  toast  with 
you,  you  must  know  you're  putting  your  foot  in 
your  hat ! '  " 

That  night  the  Assassinations  at  Sarajevo  were 
announced  in  the  papers.  Berlin  had  had  the 
story  with  its  breakfast  rolls  and  hot  creamed 
coffee. 

So  the  basis  of  the  story ;  and  the  principal 
dramatis  persona — ^Lord  Norwater  and  Kittums, 
Sherbrand  (the  aviator  who  proves  to  be  Franky's 


August  31,  1918 


Zbc  ffiritisb  3ournal  of  'Wurelnfl. 


147 


cousin),  Dr.  Saxham  and  his  wife  and  boy. 
Count  von  Hermung,  Patrine  Saxham  (whose 
willing  weakness  was  the  cause  o*  so  much  sorrow 
to  herself  and  others)  play  for  us  the  drama 
which  keeps  us  absorbed  to  the  last  page. 

According  to  the  mental  outlook  of  the  reader, 
so  will  the  verdict  be.  Some  will  disapprove, 
some  will  regard  the  book  as  a  tract  more  powerful 
than  many  sermons.  None  can  be  indifferent,  for 
the  pen  of  Richard  Dehan,  which  made  "  The 
Dop  Doctor  "  one  of  the  outstanding  books  of  our 
time,  has  limned  for  us  a  living  and  glowing 
picture  of  current  events,  and  of  Society  in  the 
days  preceding  the  war,  which  will  be  read  by  the 
children  of  those  who  fought  the  great  fight,  when 
Blue  Books  are  buried  in  official  departments, 
and  lie  unread  on  the  shelves  of  the  British 
Museum.  So  much  greater  the  pity  that  the 
manner  in  which  the  Woman's  Suffrage  Movement 
is  presented  cannot  be  regarded  as  representing 
facts,  rather  they  are  so  distorted  as  to  be 
grotesque.  P.  G.  Y. 


LETTERS  TO  THE  EDITOR. 


WHAT  TO  READ. 

We  recommend  to  the  attention  of  our  readers 
Dr.  Miiehlon's  Diary,  published  by  Cassell  &  Co., 
Ltd.  (5s.  net),  as  a  book  to  be  read.  Dr.  Miiehlon 
at  the  outbreak  of  the  war  was  a  director  of 
Krupp's  works  at  Essen.  He  severed  his  connec- 
tion with  the  firm,  left  Germany,  and  settled  in 
Switzerland.    The  Diary  is  of  poignant  interest. 

They  should  also  endeavour  to  procure  a  copy  of 
a  pamphlet  entitled  "  Reality  :  the  World's  Search- 
light on  Germany,"  No.  135.  It  is  printed  by 
G.  Binney  Dibblee,  and  is  obtainable  in  England 
and  Wales  through  any  branch  of  W.  H.  Smith 
&  Son,  and  in  Scotland  through  any  branch  of 
John  Men-'ies  &  Co.,  Ltd. 


"RED-ROBED     FRANCE." 

The  Huns  stripped  off  my  own  green  gown 

And  left  me  stark  and  bare  ; 
My  sons,  they  spread  a  red  robe  down 

And  wrapped  me  in  it  there. 

The  garb  they  brought  was  red  as  blood — 

The  robe  was  red  as  flame  ; 
They  veiled  me  in  it  where  I  stood 

And  took  away  my  shame. 

Was  ever  web  so  costly  wove. 

Or  warp  so  glorious  spun  ? 
I'll  wear  no  vestments  prized  above 

That  wide  and  scarlet  one. 

Though  younger  sons  some  happier  day. 

Weave  me  a  fair  green  gown 
Anew,  or  bid  me  don  array 

Of  corn-ripe  gold  and  brown. 

The   names    (like   beads,    told   one   by    one) 

My  heart  will  still  repeat  ; 
Will  call,  with  tears,  each  dear,  dear  son 
Whose  red  robe  wrapped  my  feet. 

By  Charles  Buxton  Going,  in 
•  "  Everybody's  Magazine." 


Whilst  cordially  inviting  communications  upon 
all  subjects  for  these  columns,  we  wish  it  to  be 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

NURSERY  SCHOOL. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — I  entirely  agree  with  Miss 
Theresa  McGrath  as  to  the  importance  of  nurses 
interesting  themselves  in  the  development  of  public 
health  work,  for  it  appears  to  me  that  such  wo.k 
is  of  more  far-reaching  importance  than  that  of 
any  other  department  of  nursing.  To  help  in  main- 
taining a  high  standard  of  health  is  even  niore 
worth  while  than  helping  to  cure  disease.  In  the 
latter  case  we  are  trying  to  mend  what  is  damaged : 
in  the  former,  to  maintain  what  is  f>erfect  in  a  state 
of  perfection.  The  repair  of  a  damaged  article 
may  be  carried  out  so  skilfully  that  few  people  can 
detect  the  flaw,  but  it  is  there  all  the  same,  and 
detracts  from  the  value  of  the  article  in  the  eye  of 
the  expert. 

In  the  same  way,  once  health  has  been  impaired 
it  is  never  quite  the  same  again ;  it  may  be  most 
skilfully  restored,  but  the  flaw  is  there.  For  this 
reason  it  seems  to  me  most  desirable  that  trained 
nurses  should  have  charge  of  the  infants  under  five 
in  nursery  schools.  These  years  are  supremely 
important  ones  in  the  life  and  development  of  the 
child,  and  the  daily  supervision  of  these  infants  by 
a  skilled  nurse  would  have  a  far-reaching  influence 
on  their  health  in  after  life.  What  more  worth 
while  to  a  nurse,  who  sees  things  at  their  true 
value,  than  to  fight,  in  the  interest,  not  alone  of 
the  individual  child,  but  of  posterity,  against  the 
onset  of  a  disease  such  as  rickets,  or  the  develop- 
ment of  tuberculosis?  Or,  again,  to  build  up  the 
health  of  the  child  with  a  bad  family  history,  so 
as  to  enable  it  to  offer  an  effective  resistance  to  the 
inroads  of  disease. 

In  work  of  this  kind  there  is  no  picturesque 
background,  no  spectacular  triumph,  but  nothing 
could  be  more  solidly  fruitful  in  good  result.  But 
if  the  importance  of  the  trained  nurse  as  a  factor 
in  preserving  the  health  of  young  children  is  recog- 
nized, then  the  most  skilled  workers  should  be 
secured,  and  they  should  be  paid  salaries  com- 
mensurate with  their  skilled  services.  It  is  unfor- 
tunately a  lesson  which,  as  a  nation,  we  are  very 
slow  to  learn,  where  women  are  concerned. 
Yours  faithfully. 

Public  Health. 


OUR     PRIZE     COMPETITION. 

QUESTIONS. 

September  yth. — What  are  the  principal  functions 
of  a  School  Nurse?  How  may  she  assist  in  raising 
the  standard  of  national  health? 

September  i^th. —  What  do  you  know  of  Exoph- 
thalmic Goitre,  its  symptoms  and  nursing  care? 


m8        Zbc  Br(ti0b  3ournal  of  'Rurelnc  Supplement,  ^'^s'^f  3^,  19^8 

The 


THE  CENTRAL  MIDWIVES  BOARD. 

At  the  Examination  held  by  the  Central  Mid- 
wives  Board  (England)  on  August  ist,  in  London 
and  the  provinces,  494  candidates  were  examined 
and  400  passed  the  examination.  The  percentage 
of  failures  was  19. 

HOSPITAL   TREATMENT   FOR  INFANTS 
AND    YOUNG    CHILDREN. 

The  Mansion  House  Council  on  Health  and 
Housing,  of  which  the  Lord  Mayor  is  president, 
has  recently  instituted  an  inquiry  as  to  the 
adequacy  of  hospital  accommodation  and  treat- 
ment for  infants  and  young  children  in  London. 

The  general  conclusion  is  that  there  is  an 
insufficiency  in  most  districts  for  the  institutional 
treatment  of  infants  and  young  children.  Except 
in  a  few  instances  that  deficiency  cannot  be  made 
good  by  existing  hospitals,  save  at  the  expense  of 
the  older  children.  In  some  cases  additional 
accommodation  could  be  provided  in  new  buildings 
if  funds  were  forthcoming. 

To  meet  the  need  it  has  been  suggested  to  the 
committee  that  wards  should  be  set  aside  for 
infants  and  young  children  in  existing  hospitals, 
or  small  local  wards  set  up  for  minor  ailments  ; 
that  each  infant  welfare  centre  should  have 
attached  to  it  a  residential  home  or  observation 
ward  for  delicate  babies  ;  that  open-air  schools 
should  be  provided  for  the  prevention  and  cure  of 
consumption  ;  that  minor  operation  cases  ought 
not  to  be  discharged  so  quickly  as  now  ;  that  delay 
in  performing  operations  should  be  prevented  and 
long  waiting  at  the  hospital  curtailed  ;  and  that 
facilities  should  be  available  for  daily  attendance 
for  simple  treatment  on  the  lines  of  school  clinics. 

In  regard  to  Poor  Law  Infirmary  facilities  the 
Council  consider  the  results  unsatisfactory  in  the 
case  of  delicate  babies.  They  think  the  Local 
Government  Board  and  Boards  of  Guardians 
might  consider  whether  the  arrangements  could 
not  be  improved. 

OPHTHALMIA     NEONATORUM. 

By  a  new  order  of  the  Scottish  Local  Government 
Board  cases  of  ophthalmia  neonatorum  become 
compulsorily  notified  in  Scotland  from  November 
ist,  next.  The  Board  advises  local  authorities 
to  take  counsel  with  their  Medical  Officer  of 
Health  so  as  to  ensure  skilled  attendance  for  every 
case  so  notified. 

VENEREAL    DISEASES. 

Much  attention  is  just  now  being  directed  to 
the  question  of  venereal  diseases,  owing  to  con- 
victions under  Clause  40D  of  the  Defence  of  the 
Realm  Act,  and  it  is  well  that  nurses  and  mid- 
wives  should  be  well  informed  as  to  their  chief 
symptoms.     These  were  well  described  recently 


by  Mr.  Leonard  Myer,  F.R.C.S.,  in  his  course  of 
lectures  at^t.  Paul's  Hospital,  Red  Lion  Square. 

Gonorrhoea,  he  said,  ran  a  rapid  and'  acute 
course,  the  incubatiOA  being  three  days,  and  it 
was  a  local  disease.. 

Syphilis,  on  the  other  hand,  was  always  chronic, 
its  incubation  was  three  weeks.  The  secondary 
stage  began  when  the  glands  unconnected  with,  the 
sexual  organs  became  enlarged,  e.g.,  those  in'  the 
bend  of  the  elbow. 

In  regard  to  the  early  complications  in  both 
sexes,  syphilis  had  very  few  comphcations, 
though  its  existence  predispostd  the  patient 
to  other  diseases,  i.e.,  phthisis,  malaria,  diabetes 
and  Bright'^  disease,  the  existence  of  the  last- 
named  also  precluded  the  patient  from  treatn^ent 
by  mercury. 

In  gonoirhoea  there  were  a  whole  host  of  com- 
plications, some  affecting  the  male  or  the  female 
only,  and  some  common  to  both  sexes. 

Some  of  those  common  to  both  sexes  were 
cystitis,  ophthalmia,  joint  affection,  meningitis 
peritonitis,  flat-foot  and  blood  poisoning. 

In  the  male,  orchitis,  acute  stricture,  prostatic 
abscess. 

?.   In  the  female  Bartolin's  gland  became  enlarged 
and  inflamed. 

USE    OF    ABORTIFACIENTS. 

The  Local  Government  Board,  in  their  Circular 
on  Maternity  and  Child  Welfare,  addressed  to 
County  Councils  and  Sanitary  Authorities,  state 
that  a  report  was  published  by  the  Privy  Council 
Office  in  19 10  on  the  practice  of  medicine  and 
surgery  by  unqualified  persons.  For  the  purpose 
of  that  Report  the  Board  obtained  some  particulars 
from  Medical  Officers  of  Health,  which  showed 
that  the  sale  of  drugs  intended  to  procure  abortion 
and  practice  by  abortion-mongers  was  prevalent  in 
many  parts  of  the  country.  From  information 
obtained  by  Medical  Inspectors  of  the  Board  in 
connection  with  their  inquiries  Into  Maternity  and 
Child  Welfare  work  and  from  other  material,  the 
Board  have  reason  to  fear  that  these  practices  con- 
tinue. One  of  the  drugs  most  commonly  employed 
for  this  purpose  Is  diachylon,  and  on  April  27th, 
1917,  an  Order  in  Council  was  made  adding  to  the 
list  of  poisons  for  the  purpose  of  Part  I  of  the 
Schedule  of  Poisons  "  lead  in  combination  with 
oleic  acid,  or  other  highly  fatted  acids,  whether 
sold  as  diachylon  or  under  any  other  designation 
(except  machine  spread  plasters)."  The  Board 
would  urge  every  Local  Authority  to  bring  this 
order  to  the  notice  of  the  druggists  and  of  the 
practising  midwives  In  their  area,  to  explain  to 
their  Health  Visitors  and  to  the  midwives  the  risks 
to  life  and  health  involved  In  the  use  of  diachylon, 
and  In  every  other  way  to  do  what  they  can  to  stop 
the  traffic  In  abortifacients  and  the  practice  of 
abortion-mongers  in  their  districts. 


THE 


iimi 


WITH  WHICH  IS  INCORPORATED 


EDITED  BY  MRS  BEDFORD  FENWICK 


No.  1,588. 


SATURDAY,    SEPTEMBER    7,    1918. 


vol.    LXI. 


EDITORIAL. 


A    MONUMENT    OF    GRATITUDE. 

We  print  in  our  correspondence  columns 
a  letter  from  the  Right  Hon.  John  Hodge, 
M.P.,  Minister  of  Pensions  and  Chairman 
of  the  Trustees  for  the  King's  Fund  for  the 
Disabled,  which  must  go  straight  home  to 
every  one  in  these  Realms,  who  lives  securely, 
because  others  have  barred  the  way  to 
invasion  by  fire  and  sword  with  their  flesh 
and  blood,  and  have  in  consequence  been 
disabled. 

Surely  the  first  instinct  of  gratitude  is  to 
see  that  the  men  who  have  thus  suffered  on 
our  behalf  shall  have  all  the  assistance 
possible  to  start  business  in  civil  life  once 
again.  So  urgent  is  the  need  for  this  that 
the  Minister  of  Pensions  began  last  year  to 
receive  contributions  to  a  Voluntary  Fund 
which  he  administered  himself,  the  primary 
object  of  which  was  to  help  discharged 
disabled  men  to  start  business  in  a  small 
way — and  roughly  2,000  men  and  a  number 
of  women  have  been  so  helped.  It  is  how- 
ever desirable  to  give  more  in  certain 
specified  cases  than  the  £25  hitherto  re- 
garded as  a  maximum. 

The  £11^,000,  which  Mr.  Hodge  col- 
lected without  any  special  appeal,  included 
£50,000  from  Sir  John  Leigh.  The  Willis 
James'  bequest  for  widows  and  dependants 
brought  ;{^i5,ooo,  the  Chapman  Fund 
£10,000  for  men  who  had  trained  under  the 
schemes  of  the  Ministry,  and  donations 
from  Mr.  Bosanquet  and  others  made  up  the 
balance.  Alongside  these  separate  Funds 
the  donations  were  received  by  the  Minister, 
until  the  whole  of  the  Funds  amounted  to 
about  £115,000  (a  large  part  of  this  money 
has,  of  course,  already  been  spent). 

The  King  then  took  an  active  interest  in 
the  matter,  and  decided  to  hand  over 
£53,000  (the  City  of  London  Silver  Wedding 


Gift)  and  £25,000  from  his  own  purse.  The 
Duke  of  Connaught  made  this  announce- 
ment at  the  Mansion  House  Meeting  on  the 
31st  July.  It  was  decided  that  the  Volun- 
tary Funds,  hitherto  under  the  control  of 
the  Minister,  should  be  known  in  future 
as  The  King's  Fund  for  Disabled  Officers 
and  Men,  to  be  administered  by  a  Com- 
mittee of  Trustees  appointed  by  the  King, 
and  with  the  patronage  of  His  Majesty, 
through  the  Ministry  of  Pensions  and  its 
local  War  Pensions  Committees. 

The  immediate  object  is  to  raise 
£3,000,000  to  continue  the  work  hitherto 
done  by  the  Minister's  Voluntary  Funds, 
but  on  a  more  generous  and  wider  scale. 
The  existing  funds  are  all  but  exhausted. 

The  weekly  number  of  applications  for 
grants  is  rapidly  growing,  and  has  already 
risen  to  close  upon  600.  Applications  for 
grants  must  be  made  to  the  Local  War 
Pensions  Committees  which  are  in  every 
district  throughout  the  country.  (Officers 
apply  direct  to  the  Ministry.)  The  Local 
Committee  sends  a  recommendation  if  the 
case  is  a  suitable  one,  and  the  Trustees  deal 
with  it.  A  large  staff  at  the  Ministry  is 
engaged  on  the  work,  and  the  applications 
are  expeditiously  dealt  with  without 
"  officialism  "  or  "  red  tape;"  Elasticity 
is  the  great  feature  of  the  Voluntary 
Scheme. 

The  need  for  the  Fund  is  urgent,  and 
already  the  most  beneficent  results  have 
been  obtained  in  resettling  men.  If  the 
taxpayers'  money  were  to  be  used  there 
would  require  to  be  rigid  regulations  of 
universal  application  bound  by  hard  and 
fast  rules  which  would  destroy  the  whole 
idea  of  this  scheme. 

We  hope  that  every  possible  support  will 
be  given  to  this  Fund,  to  help  our  disabled 
men  to  help  themselves — a  Fund  which  is 
not  intended  to  be  a  substitute  for  a  State 
Pension,  but  to  supplement  it. 


I50 


(Ibc  Britlsb  3ournal  of  "Wuretng. 


September  7,   1918 


OUR    PRIZE    COMPETITION. 


WHAT  ARE  THE  PRINCIPAL  FUNCTIONS  OF  A  SCHOOL 
NURSE?  HOW  MAY  SHE  ASSIST  IN  RAISING  THE 
STANDARD  OF  NATIONAL  HEALTH? 

We  have  pleasure  in  awarding-  the  prize  this 
week  to  Miss  Catharine  Wright,  Dryden  Road, 
Bush  Hill  Park,  Enfield. 

HRIZH      PAPER. 

The  principal  functions  of  a  school  nurse 
cover  a  wide  field  of  activities,  all  of  which  have 
for  their  object  the  raising  of  a  higher  standard 
of  health  among  the  school  children,  and  in 
following  up  this  ideal  many  other  branches  in 
connection  with  this  school  work  have  opened 
up,  so  that  the  school  nurse  of  to-day  has  the 
opportunity  of  using  her  trained  knowledge 
and  experience,  proving  an  invaluable  help 
towards  maintaining  a  national  standard  of 
health  and  fitness  amongst  the  school  children, 
many  of  whom  live  under  the  most  adverse  con- 
ditions of  poverty,  neglect,  and  ignorance. 

It  is  in  the  elementary  schools  of  the  London 
County  Council,  principally,  that  her  work 
begins,  and  usually  the  routine  visit  to  the 
school  is  notified  to  the  heads  of  the  school 
previously,  so  that  absentees  may  be  present 
for  the  nurse's  visit.  Once  in  each  term  every 
child  is  examined  for  cleanliness,  the  hair  and 
skin  are  inspected,  and  all  conditions  recorded. 
Verminous  children  are  excluded  :  visits  paid 
to  the  home,  and  the  parents  instructed  as  to 
the  best  method  of  cleansing.  If  this  cannot  be 
accomplished,  the  cleansing  process  may  be 
compulsory  under  the  Children's  Act.     ' 

Any  infectivity .  of  skin  is  noticed,  and  the 
children  referred  to  the  school  doctor,  who  will 
diagnose,  and  curative  treatment  then  follows 
at  a  clinic  or  treatment  centre. 

Any  eye  disease,  likely  to  be  infectious,  is 
also  referred  to  the  school  doctor,  and  the  same 
procedure  followed,  and  aural  disease  is  care- 
fully supervised  under  curative  treatment. 
This  entails  many  visits  to  the  homes  of  the 
children,  and  the  school  nurse  is  brought  into 
touch  with  the  family,  and  is  almost  invariably 
taken  into  confidence,  and  her  sympathy  and 
helpful  advice  readily  accepted. 

The  medical  inspections  are  of  great 
importance.  For  these,  the  selected  age- 
groups  of  children  are  prepared  by  weighing, 
measuring,  and  vision  testing,  an  accurate 
record  kept,  which  later  on  becomes  useful  for 
statistical  purposes.  The  parents  are  urged  to 
be  present,  and  here  again  the  school  nurse  is 
in  touch  with  them,  and  has  often  to  follow  up 
the    cases     for    curative    treatment,     getting 


vouchers  for  clinic  and  centre  or  hospital 
treatment,  watching  over  the  cases  until  they 
return  to  school. 

In  various  districts,  school  clinics  and  treat- 
ment centres  are  in  active  progress,  a  very 
large  number  of  defects  being  treated  with  the 
best  result,  supervised  by  the  school  doctors. 

Dental  centres  are  at  work,  the  school  nurse 
taking  duty  and  helping  the  doctor  and  dentist 
in  the  recovery  room.  The  X-ray  department 
of  a  treatment  centre  utilizes  the  school  nurse, 
she  preparing  the  heads  and  keeping  the 
children  in  suitable  positions  during  the  X-ray 
exposure.  On  certain  days  there  are  operations 
for  tonsils  and  adenoids,  the  school  nurses 
taking  duty  as  in  an  ordinary  operating  theatre. 

Mentally  and  physically  defective  children 
have  their  own  school  nurses,  who  well  under- 
stand the  supervision  and  care  these  children 
need. 

The  teachers  of  each  school  realise  how 
beneficial  the  work  of  the  school  nurse  has 
become,  and  the  heads  of  the  school  nurses' 
department,  realizing  the  many  problems  and 
difficulties  that  arise  in  this  kind  of  work,  are 
ever  ready  to  receive  and  give  suggestions 
bearing  on  these  difficulties. 

The  work  is  intensely  interesting,  and  may 
be  more  so,  if,  under  the  new  Education  Act, 
the  services  of  the  school  nurses  are  as  appre- 
ciated and  used  to  the  fullest  extent,  for  the 
younger  children  will  specially  need  trained 
knowledge,  and  the  older  children  guided  and 
taught  a  hygienic  value  of  themselves. 

With  this  wider  knowledge  the  standard  of 
national  health  will  be  on  a  good  basis,  which 
must  result  in  future  fitness  and  capacity  for 
the  girls  and  boys  who  are  to  be  the  parents 
of  the  future  generation. 

HONOURABLE   MENTION. 

The  following  competitors  receive  honourable 
mention  : — Miss  B.  Courtenay,  Miss  M.  James, 
Miss  P.  Thomson. 

QUESTION    FOR    NKXT    WEEK. 

What  do  you  know  of  ex-ophthalmic  goitre, 
its  symptoms,  and  nursing  care? 

We  desire  to  draw  the  attention  of  nurses  to 
the  Form  of  Petition  to  the  Prime  Minister 
which  appears  inside  the  front  cover.  Although 
the  principle  of  representation  of  the  organized 
Nurses'  Societies  has  been  inserted  in  the 
7th  draft  of  the  College  of  Nursing  Bill, 
"  there  is  many  a  slip  between  the  cup  and  the 
lip,"  and  the  more  representative  the  Petition 
the  more  influence  it  will  have  when  our  Bill  is 
before  Parliament. 


September  7,  1918       ^^e  Btltieb  Soumal  of  IRursing. 


^» 


NURSING    AND    THE    WAR. 


The  many  friends  of  Miss  Violetta  Thurstan 
will  be  glad  to  learn  of  her  safe  return  to  this 
country  after  her  war  service  in  Serbia.  We 
learn  it  is  probable  that  after  a  rest  she  will  take 
up  interesting  work,  at  home. 


The  Hon.  Mrs.  Waldorf  Astor  appeals  for  the 
loan  or  gift  of  river  canoes  for  the  use  of  the 
Nursing  Sisters  and  staff  of  the  15th  Canadian 
General  Hospital,  Cliveden,  Taplow,  Bucks. 


Nurses  of  the  American  Army  have  now  been 
given  a  definite  status.  They  are  not,  how^ever, 
to  be  commissioned,  but  to  be  warranted,  as  are 
sergeants    and    non-commissioned   officers. 


A  Washington  message  says  that  orders  have 
been  issued  by  the  United  States  War  Department 
to  the  office  of  the  Surgeon-General,  which  will 
enable  coloured  nurses  who  have  been  registered 
by  the  American  Red  Cross  Society  to  render 
service  to  their  own  race  in  the  Army.  The 
nurses  will  be  assigned  to  the  hospitals  at  half-a- 
dozen  camps,  in  which  a  total  of  about  38,000 
coloured  troops  are  stationed.  General  Pershing 
has  been  asked  whether  the  services  of  coloured 
nurses  can  be  utilised  to  advantage  among  the 
American  Expeditionary  Forces. 


The  Nursing  Journal  of  India  says  :  "  Many 
names  can  be  added  to  our  list  of  heroine  nurses 
by  the  splendid  courage  of  those  women  who 
remained  at  the  post  of  duty  during  the  terrible 


THE  GARDEN  AT  COLEBROOK  LODQE.  PUTNEY  HEATH,  THE  AMERICAN  RED  CROSS  NURSES'  REST  HOUSE. 


The  Army  regulations  fixing  the  rank  of  officers 
in  the  Army  has  been  amended  by  the  insertion 
of  the  new  grade  of  "  nurse  "  below  the  grade  of 
cadet,  and  above  that  of  sergeant-major.  The 
nurses  are  thus  placed  in  authority  over  all  men 
in  the  enlisted  branch.  Many  of  the  nurses 
feel  they  should  have  commissioned  rank,  like 
their  Canadian  colleagues,  thus  giving  them 
authority  over  all  patients  in  military  hospitals. 


Our  illustration,  from  an  American  Red  Cross 
oflBcial  photograph,  gives  a  charming  impression 
of  the  delights  of  Colebrook  Lodge,  West  Hill, 
Putney  Heath,  the  American  Red  Cross  Rest 
House,  for  its  convalescent  nurses.  It  must 
surely  be  a  joy  to  convalesce  in  surroundings  so 
healthful  and  beautiful. 


air  raid  which  took  place  when  the  Germans 
bombed  one  of  our  military  hospitals  in  France. 
The  scene  of  the  disaster  was  a  big  hospital  camp 
composed  of  many  huts  and  known  to  the  enemy 
as  being  such,  not  only  by  its  conspicuous  marking 
with  the  Red  Cross,  but  they  had  often  seen  it.  The 
night  was  one  flood  of  brilliant  moonlight,  when 
squadron  after  squadron  flew  over  and  dropped 
large  bombs  on  the  huts,  which  were  nearly  full  of 
badly  wounded  men,  who  were  mostly  helpless  to 
assist  themselves  and  to  whom  movement  was 
agony  ;  some  of  the  raiders  flew  very  low  and  raked 
the  huts  and  staff  quarters  with  machine  guns. 
There  were  several  hundreds  of  casualties  amongst 
the  patients,  orderlies  and  nurses.  We  read  with 
pride  and  profound  emotion  the  description  of  the 
behaviour  of  the  nurses  under  the  terrible  ordeal." 


«5» 


TTbe  Britt0b  Journal  of  fJlurainfi. 


September  7,   1918 


GALLANT  SERVICE   IN  MESOPOTAMIA. 


FRENCH  FLAG  NURSING  CORPS. 


GENERAL  MARSHALL'S  LIST  OF  MENTIONS. 

War  Office,  August  2yth. 
The  Secretary  of  State  for  War  has  received  the 
following  dispatch  addressed  to  the  Chief  of  the 
General   Staff,    India,    by   Lieut.-General   W.    R. 
Marshall,  K.C.B.,  K.C.S.I.,  Commanding-in-Chief, 
Mesopotamia  Expeditionary  Force  : — 
General  Headquarters, 
Mesopotamian  Expeditionary  Force, 

April  15th,  1918. 
Sir, — ^With  reference  to  the  concluding  para- 
graph of  my  dispatch  dated  April  15th,  1918,  I 
have  the  honour  to  submit  herewith  a  list  of  names 
of  those  officers,  ladies,  non-commissioned  officers, 
and  men  serving,  or  who  have  served,  under  my 
command,  whose  distinguished  and  gallant  services 
and  devotion  to  duty  I  consider  deserving  of 
special  mention. 

I  have  the  honour  to  be.  Sir, 
Your  obedient  Servant, 
W.  R.  Marshall, 

Lieut.-General. 
Commanding-in-Chief,  Mesopotamian 
Expeditionary  Force. 

Queen     Alexandra's     Imperial     Military     Nursing 
Service. 
Walker,  Miss  M.,  Matron,  R.R.C. 

Queen  Alexandra's  Imperial  Military  Nursing 
Service  Reserve. 
Argo,  Miss  M.  B.,  Staff  Nurse ;  Bottomley,  Miss 
C.  M.,  Sister;  Da  vies,  Miss  A.  M.,  Staff  Nurse;  Davies, 
Miss  E.,  Staff  Nurse;  De  Kock,  Miss  D.,  Sister; 
Hargraves,  Miss  D.  O.,  Staff  Nurse;  Hartrick,  Miss 
A.  L.,  Sister;  Lulham,  Miss  E.  V.  J.,  Staff  Nurse; 
Mark,  Miss  M.,  Staff  Nurse;  McGaughey,  Miss  M.  A., 
Sister;  McNab,  Miss  M.  M.,  Sister;  Millar,  Miss  L., 
Staff  Nurse  ;  Rae,  Miss  M.,  Sister  and  A. /Matron  ;  Reid, 
Miss  A.  E.,  Staff  Nurse ;  "Robertson,  Miss  M.  A.  A., 
Sister;  Stuart,  Miss  A.  L.,  Sister;  Wadsworth,  Miss 
S.  E.,  Sister;  Wellington,  Miss  A.,  Staff  Nurse; 
Wilkinson,  Miss  E.  S.,  Sister. 

Territorial  Force  Nursing  Service. 
CoULSON,  Miss  M.  G.,  Sister  ;  Crosbie,  Miss  M.  F.  D., 
Sister;  Curties,  Miss  N.,  Sister;  Earle,  Miss  A.  L., 
Matron;  Emuss,  Miss  E.  A.,  Sister;  Hunstone,  Miss 
M.,  Sister;  King,  Miss  E.  S.,  Staff  Nurse;  Mann,  Miss 
T.  J.,  Sister;  Potter,  Miss  M.  M.,  Sister;  Seacome, 
Miss  B.  E.,  Sister  ;  Wheeler,  Miss  M.  K.,  Sister. 

Queen  Alexandra's  Military  Nursing  Service,  India. 

Gilmore,  Miss  M.  G.,  Matron;  Maclean,  Miss  M.  E., 

Nursing  Sister;  Marshall,  M'ss  E.  O.,  Nursing  Sister; 

Wilson,  Miss  J.  S.  R.,  R.R.C.,  Senior  Nursing  Sister. 

Temporary  Nursing  Service,   India. 
Burke-Roche,  Miss  G.,  T./Matron;  Gaskin,  Miss  J., 
T. /Matron  ;  May,  Miss  T. ,  T. /Nursing  Sister  ;  Minchin, 
"Miss  L.  L.  M.,  T. /Nursing  Sister. 

Voluntary    Aid    Detachment. 
Martin,  Miss  C.  A. 

The  Scottish  Women's  Hospitals  have  received 
from  Major  Endicott,  American  Red  Cross  Com- 
missioner in  this  country,  the  first  instalment  of 
a  most  generous  grant  of  160,000  dollars. 


Miss  Has  well,  Matron  in^France,  has  taken  part 
in  the  Allied  Women  War  Workers'  Congress  in 
Paris,  which  we  hear  w-as  most  interesting,  and  a 
very  valuable  exchange  of  opinion  of  those  deeply 
interested  in  women's  part  in  organisation  and 
the  relief  of  suffering. 


Noteworthy  were  the  words  of  M.  Pichon, 
Minister  of  Foreign  Affairs,  who  represented  M. 
Clemenceau  at  the  great  meeting  at  the  Theatre 
Champs  Elys^es  and  who  asserted  that  women's 
work  is  inseparable  from  the  essential  work  of  the 
war.  He  paid  tribute  to  English  women  spending 
their  lives  in  succouring  those  in  the  invaded 
districts,  and  the  American  women,  who,  he  said, 
possessed  in  a  supreme  degree  the  idealism  which 
is  the  gift  of  their  race  ;  and  mentioned,  as  having 
earned  for  ever  the  admiration  and  gratitude  of 
the  nations — the  Queen  of  the  Belgians,  Sister 
Julie,  and  Edith  Cavell.  "  It  is,"  he  said  to  the 
members  of  the  Congress,  "  a  regular  revolution 
which  you  have  accomplished  in  placing  yourselves 
by  the  side  of  the  defenders  of  our  soil  and  our 
right,  and,  indeed,  everywhere  where  our  deliver- 
ance and  the  constitution  of  a  new  society  are 
being  worked  out.  In  the  new  society  woman 
will  no  longer  be  what  she  was  yesterday.  She 
will  no  longer  be  content  to  leave  to  man  affairs 
which  concern  her  as  much  as  him.  She  has 
acquired  in  the  struggle  a  new  role,  and  she  will 
have  had  such  a  part  in  the  liberation  of  the  world 
that  the  world  will  not  be  able  to  keep  her  separated 
from  the  defence  of  great  social  causes.  She  will 
have  penetrated  further  into  the  general  organisa- 
tion of  society,  which  will  have  been  saved  partly 
bv  the  action  which  she  has  exercised." 


We  hear  of  a  Med.  Chef  remarking  to  an  English 
lady  who  has  worked  with  him  for  over  a  year  : — • 
"  I  like  your  British  Nurses  ;  they  work  all  day, 
running  about  like  mice  ;  they  don't  talk,  and  they 
have  been  here  a  whole  fortnight  and  I  have  not 
been  called  upon  to  adjust  any  quarrel  !  " 

This  same  Med.  Chef  hopes  that  he  will  be  able 
to  have  F.F.N.C.  Sisters  to  work  with  him  for  the 
future.  

Sister  Dora  Simpson  has  been  awarded  the 
Medaille  des  Epidemics,  which  she  well  deserves, 
after  her  excellent  services  in  nursing  contagious 
diseases  in  the  war  zone. 


Members  of  the  French  Flag  Nursing  Corps  will 
leara  with  pleasure  that  although  General  Vicomte 
de  la  Panouse  is  relinquishing  his  post  as  Military 
Attache  to  the  French  Embassy  in  London,  the 
Vicomtesse  de  la  Panouse  will  continue  her  benefi- 
cent work  as  President  of  the  Comit6  Britannique 
of  the  Croix  Rouge  Francaise. 


An  interesting  report  of  Queen  Mary's  Hostels 
for  Nurses,  of  which  there  are  now  three,  has 
been  published. 


September  7,  1918       Q^bc  36ritt0b  Soumal  of  IJluretno. 


J53 


CARE    OF    THE    WOUNDED. 


THE  INFLUENCE  OF  COLOUR. 

As  some  people  have  greater  perception  of 
harmony  and  are  more  deeply  moved  by  "  con- 
cord of  Sweet  sounds  "  than  others,  so  some  are 
more  susceptible  to  the  influence  of  colour  and 
more  consciously  take  pleasure  in  its  efEects. 
Yet  subconsciously  there  are  probably  few  people 
who  are  not  influenced  by  it,  and  more  especially 
the  sick,  who  lie  day  after  day  in  the  same  sur- 
roundings, which  may  depress  them  and  retard 
their  recover^"-,  or  inspire  them  to  persevere  on 
the  road  to  recovery,  and  to-  regain  the  mental 
poise  and  concentration  which  for  a  time  they 
have    lost. 

Nurses  who  have  worked  in  a  hospital  where 
the  walls  are  a  drab  colour,  with  "perhaps  a  dado 
of  bro\vn  paint  chosen  for  its  enduring  quality, 
and  who  have  escaped  in  their  off  duty  time  to  the 
National  Gallery,  or  one  of  the  other  great  picture 
galleries,  as  a  relief  from  their  monotony,  will 
realize  their  effect  upon  the  mind,  and  the  im'por- 
tance  of  the  work  for  the  sick  and  wounded  of 
Mr.  P.  H.  Kemp  Prossor,  who,  having  studied 
"  colour-medicine  "  and  the  influence  of  colour 
on  children  and  adults,  is  so  convinced  a  believer 
in  its  benefits  that  he  has  closed  down  half  his 
house,  given  up  his  motor  car,  and  is  devoting 
himself  to  arranging  and  supervising  colour  wards 
in  military  hospitals.  Mr.  Pressor's  faith  ex- 
tends beyond  the  a;sthetic  effect  of  colour  to  its 
therapeutic  influence. 

"We  have  already  described  the  "  Colour  Ward  " 
in  the  McCaul  Hospital  for  Officers,  and  it  was 
recently  the  good  fortune  of  the  writer  to  visit 
Section  IV  of  the  Maudsley  Neurological  Clearing 
Hospital  at  Denmark  Hill,  where  shell-shock  and 
kindred  cases  are  received. 

Imagine  the  change  of  being  transported  from 
the  tortured  battle-grovinds  of  Europe,  desolate, 
and  reeking  with  the  carnage  of  war,  to  these 
wards  where  "  all  the  air  is  thrilling  with  the 
Spnng,"  for  that  is  the  message  of  Mr.  Kemp 
Pressor's  colour  wards,  and  the  colours  are  nicely 
adjusted  to  the  individual  neifeds.  The  ceilings 
are  in  every  case  a  soft  firmament  blue,  and 
there  are  wards  with  apple-blossom  pink  walls — 
so  many  people  need  pink,  says  Mr.  Prossor — 
with  anemone  mauve  curtains,  introducing  the 
note  of  concentration  and  maybe  Spring-green 
quilts,  the  bedsteads  being  painted  the  same 
colour,  even  the  regulation  army  lockers  are 
coloured  to  harmonize  ;  and  the  picture-frames 
are  the  same  tone  as  the  walls  ;  white  sheets  are 
not  yet  abolished,  but  that  may  come.  Incident- 
ally Mr.  Prosser  believes  that  much  of  the  bad 
eyesight  of  to-day  is  due  to  the  fact  that  so  many 
people  are  constantly  looking  at  white.  No 
browns  or  mauves  or  reds  are  permitted  ;  "  the 
men  have  seen  far  too  much  of  those  colours,"  says 
Mr.  Kemp  Prossor.  Just  at  that  moment  the 
discordant  note  of  red  is  introduced  in  the  regula- 
tion red-bordered  cape  of  the  Territorial  Sister, 


which  sets  one  wondering  why  the  War  Office  does 
not  invite  him  to  design  a  uniform  for  Sisters 
whose  work  lies  amongst  the  mentally  sick,  which 
shall  suggest  peace  and  not  war. 

Why  not  ? 

In  a  corridor  on  the  officers'  floor  one  gets  a 
charming  effect  of  sunlight  and  brightness.  But 
the  corridor  really  is  dark,  and  it  has  been  .obtained 
by  the  sunlight  yellow  curtains  to  the  window  at 
the  end,  and  will  be  further  accentuated  when  the 
walls  have  been  coloured  a  primrose  yellow. 

It  should  be  knowTi  that  Mr.  Kemp  Prossor 
is  prepared  to  supervise  a  colour  ward  in  any 
hospital,  and  under  no  circumstances  will  a  fee 
be  charged.  All  success  to  him  in  his  important 
contribution  to  the  work  for  the  healing  of  the  sick. 
He  tells  of  a  sleepless  patient  who  fell  asleep 
at  once  in  a  colour  ward,  and  a  letter  received 
from  a  sergeant  was  eloquent  in  appreciation  of 
the  benefit  he  had  received.  The  colours  are  all 
washable.  Lastly,  it  is  essential  that  they  should 
be  blended  "  with  brains."  ^  " 

Lest  it  should  be  thought  there  is  anything  new 
under  the  sun,  it  may  be  mentioned  that  Aristotle 
was  acquainted  with  the  therapeutic  influence  of 
colour. 

A  BLACKGUARD  NATION. 

The  German  Army  (says  the  British  Medical 
Journal),  which  we  are  often  told  is  one  with  the 
German  people,  is  filling  up  the  cup  of  its  iniquities. 
When  the  Germans  bombed  hospitals  the  excuse 
was  made  for  them  that  the  buildings  were  not 
properly  marked  with  the  Red  Cross,  though  the 
apologists  forgot  to  add  that  the  Germans  used 
the  Red  Cross  to  protect  their  corps  headquarters. 
A  month  or  two  ago  an  order  was  found  to  have 
been  issued  directing  troops  in  the  advanced  line 
to  shoot  down  stretcher  parties  collecting  the 
wounded,  not  so  much  with  the  object  of  killing 
them,  but,  as  was  explained,  to  ensure  that  the 
wounded  were  left  out  so  long  that  they  would  be 
beyond  the  reach  of  the  surgeon's  art.  In  this 
way  it  was  sought  to  diminish  allied  effectives. 
The  Ministry  of  Information  has  now  sent  through 
its  wireless  service  particulars  of  certain  gross 
outrages  committed  by  the  Germans  upon  British 
prisoners  and  wounded  in  March  last.  The  stories 
have  no  doubt  been  seen  by  all  readers,  and  it  is 
only  necessary  to  say  that  the  sworn  statements  of 
soldiers  belonging  to  a  Scottish  regiment  are  to  the 
effect  that,  under  the  orders  of  a  German  officer,  a 
a  soldier  who  accompanied  him  turned  a  stream  of 
liquid  fire  down  the  trench  in  which  prisoners  and 
wounded  (16  men,  of  whom  10  were  wounded)  had 
,  been  lined  up.  Some  of  the  unwounded  escaped, 
but  all  the  wounded  must  have  been  either  suffo- 
cated or  burnt.  The  British  Government  has 
caused  to  be  conveyed  to  the  German  Government 
a  protest  against  the  offences  described,  but,  as 
they  appear  to  be  part  of  a  deliberate  policy,  it  is 
hardly  to  be  expected  to  have  any  effect.  The 
Cologne  Gazette  recently  said  that  the  Germans 
are  a  blackguard  nation,  and  the  epithet  seems 
well  chosen. 


m 


Hbc  Brttieb  Journal  of  Bureing.       September  7,  1918 


Ropal  Britlsl)  nurses'  Hssociatloti. 


(Iticorporatea  Dp 


Ropal  Charten) 


THIS   SUPPLEMENT   BEING   THE    OFFICIAL    ORGAN    OF    THE    CORPORATION. 


COMPOUND    FRACTURES   OF    THE 
HUMERUS. 


By  Miss  M.  C.  Sinzininex,  A.R.R.C. 

Diploma  of  the  Royal  British  Nurses'  Association  ; 
Matron  of  Queen  Alexandra's  Hospital  for  Officers. 

PART  II.— DRESSINGS  AND  DRAINAGE. 

In  cases  of  compound  fractures  the  wounds  are 
usually  kept  open  by  means  of  drainage  tubes. 
In  war  fractures  the  break  is  not  an  ordinary  one, 
but  in  most  cases  the  bone  is  badly  shattered,  and 
for  months,  possibly  a  year,  pieces  of  bone  that 
will  not  unite  die  and  consequently  come  aws.y 
or  have  to  be  removed,  so  there  will,  for  a  long 
time,  be  a  septic  wound,  as  where  there  is  dead 
bone  there  is  always  sepsis.  Experience  has 
shown  that  if  a  wound  be  allowed  to  close  too 
quickly  it  invariably  has  to  be  re-opened  to  admit 
of  the  removal  of  dead  bone. 

The  Carrell-Dakin  method  of  drainage  and 
irrigation  (not  the  solution)  was  used  at  Highgate 
long  before  it  penetrated  to  the  hospitals  in 
France.  At  first  normal  saline  was  run  through 
the  wounds  by  means  of  a  piece  of  bandage 
drawn  through  the  arm  and  out  at  the  counter 
opening,  the  solution  draining  into  a  pail  below. 
Later  on  small  bore  tubes,  tied  at  their  lower  ends, 
were  inserted  into  the  wounds,  and  an  antiseptic 
solution,  which  was  syphoned  from  an  overhanging 
flask,  was  run  into  the  wounds  at  intervals  of 
about  two  hours,  the  flow  b'eing  regulated  by  a 
screw  tap  on  the  connecting  tube. 

(It  is  important  in  inserting  the  tubes  to  see 
that  all  the  small  perforations  are  enclosed  in  the 
wound,  or  else,  when  the  tap  is  turijed  on,  the 
fluid  will  escape  before  it  reaches  the  depth  of  the 
sinus.) 

The  Carrell-Dakin  fluid  was  not  used  for  several 
reasons.  It  requires  very  expert  preparation, 
does  not  keep  good  for  many  days,  and  has  an 
injurious  effect  on  the  skin  around  the  wound, 
necessitating  a  protective  form  of  dressing  on  the 
surrounding  parts  before  the  solution  can  be  used. 
After  trying  various  antiseptic  solutions,  Mr.  H. 
J.  Paterson,  the  Honorary  Surgeon  in  Charge  at 
Highgate,  decided  on  using  a  preparation  of 
sodium  mono  borate.     This  can  be  easily  pre- 


pared from  the  .  crystals,  and '  will  keep  almost 
any  length  of  time,  so  that  a  large  quantity  can 
be  made  at  once.  Ninety  grammes  of  the  crystals 
are  dissolved  in  3,000  c.c.  of  warm  sterile  water, 
the  water  being  only  sufficiently  warm  to  melt 
the  crystals.  A  little  of  any  colouring  matter 
added  distinguishes  the  solution  from  saline  or 
any  other  fluids  in  stock.  Sodium  mono  borate 
is  not  nearly  so  expensive  as  the  Carrell-Dakin 
solution,  also  it  does  not  injure  the  skin  unless 
used  continuously  for  months,  when,  in  some  cases, 
the  patient  has  developed  a  kind  of  wound  eczema. 
A  change  ol  dressing  and  an  application  of  Cala- 
mine lotion  soon  relieve  matters.  Sodium  mono 
borate  encourages  a  goodly  flow  of  lymph  to  the 
wound  and  so  "  washes  it  out, ".carrying  with  it 
the  pus.  So  quick  and  effectual  is  its  action  that 
sometimes  within  twenty-four  hours  of  its  appli- 
cation thick  lymph  will  be  seen  mingling  with  the 
pus  which  is  draining  from  the  wound. 

A  solution  of  aluminium  acetate  was  also  tried, 
and  is  still  used  for  the  dressing  of  superficial 
wounds.  It  cleans  up  a  large  septic  area  in  a 
marvellously  short  time,  but  it  is  not  so  good  for 
irrigation  purposes,  as  it  seems  to  form  a  kind  of 
crust  in  the  wound  which  blocks  up  the  smaller 
perforations  of  the  tubes.  The  sodium  mono- 
borate  and  the  aluminium  acetate  are  both  used 
mixed  with  the  thick  medicinal  parafi&n,  and 
make  an  excellent  dressing  for  wounds  that  do 
not  need  drainage,  or  are  past  the  irrigation  stage. 
This  preparation  has  one  very  valuable  asset — it 
prevents  the  gauze  and  wool  from  sticking  to  the 
wound,  and  so  greatly  lessens  the  pain  and  dis- 
comfort of  a  dressing. 

In  these  days,  interest  is  centred  on  anti-sepsis, 
so  that  asepsis,  the  most  important  factor  of  all 
in  surgical  cases,  is  a  little  apt  to  be  pushed 
into  the  background.  It  should  be  borne  in  mind 
that  the  solutions  used  have  quite  enough  work 
to  do  to  kill  the  germs  which  are  already  in  the 
wound,  and  it  is  the  nurse's  business  to  see  that 
none  are  unnecessarily  added.  One  is  a  little 
apt  to  think  of  war  wounds  as  "  dirty  cases  " 
and  not  to  take  the  care  one  should  with  them. 
A  nurse  should  always  remember  that  she  is 
dealing  with  open  tissue,  and  her  surgical  cleanli- 
ness should  be  as  punctilious  as  if  she  were  dressing 
a  clean  abdominal  case. 


■September  7,  1918       ^f)e  Bttttsb  Joumal  of  •Rureing. 


155 


Another  important  point  which  should  be 
remembered,  especially  with  irrigation  cases, 
is  that  germs  travel  up  a  moist  track,  and  if, 
through  a  little  over  irrigation,  the  dressing 
becomes  wet  to  the  outside  and  has  to  be  packed, 
the  packing  should  be  done  with  sterile  pads  and 
surgically  clean  hands.  All  the  foregoing  may 
be  small  points  in  themselves,  but  they  are  links 
in  the  chain  that  draws  the  patient  to  re- 
covery. 

In  one's  pre-war  hospital  day€,  simple  fractures 
■were  the  rule,  compound  ones  the  exception.  Now 
the  position  is  reversed,  and  not  only  are  the 
majority  of  the  fractures  with  which  one  meets 
compound,   but  comminuted  as  well. 


APPOINTMENT. 

Miss  Florence  Carver  has  been  appointed 
Matron  at  the  Military  Hospital,  Palavas,  France, 
and  writes  that  she  finds  the  work  there  most 
interesting,  and  tells  of  the  splendid  surgery 
accomplished  in  this  French  hospital,  in  which 
there  are  a  hundred  and  fifty  beds.  Miss  Carver 
was  trained  at  St.  George's  Hospital  and  became 
a  member   of   the   Association   in    1905. 

MARRIAGE. 

On  Saturday,  August  24th,  Miss  Emily  Young 
was  married  quietly  to  Mr.  Ernest  Henry  Collins, 
of  35,  Bloomsbury  Square.  For  a  year.  Miss 
Young  has  been  working  for  the  Association  at  a 


HEADQUARTERS  OF  THE  SOUTH  AUSTRALIAN  BRANCH  OP  THE  R.B.N.A. 


The  treatment  of  compound  fractures  of  the 
humerus  and  their  attendant  wounds  is  an  especi- 
ally interesting  study.  The  arm  is  of  such 
inestimable  value  to  the  patient  that  there  is 
the  greatest  possible  satisfaction  in  saving  a  badly 
smashed  upper  limb.  Although  the  amputation  of 
a  leg  may  be  a  greater  shock  to  the  patient  at 
the  time  than  is  the  removal  of  an  arm,  the 
comparative  loss  in  after  life  between  the  two 
limbs  is  enormous.  A  man  with  two  arms  and  one 
leg  will  have  a  very  much  better  prospect  of  a 
useful  life  than  a  man  with  one  arm  and  two 
legs,  even  if  fitted  with  the  wonderfully  efi&cient 
artificial  limbs  that  are  now  in  use.  Therefore 
any  extra  trouble  and  patience  expended  in 
saving  an  arm  is  always  repaid. 


military  hospital  in  Yorkshire,  and  has  also  done 
a  considerable  amount  of  private  work  for  it. 
She  became  a  member  in  19 15. 

OBITUARY. 

It  is  with  regret  that  we  have  to  report  the  death 
of  Miss  Mary  Seamark. 

Miss  Seamark  died  in  the  Bush  Township  of 
Murat  Bay,  South  Australia,  in  .April  last.  She 
was  trained  at  St.  Thomas'  Hospital,  and,  after 
holding  several  appointments  in  England,  she  went 
out  to  South  Australia,  where  she  did  work  for  the 
Australian  Branch  of  the  Royal  British  Nurses' 
Association. 

(Signed)     Isabel  Macdonald, 

Secretarv. 


X56 


Zbc  Brittsb  3ournal  ot  TRursiUQ.       September  7,  1918 


APPOINTMENTS. 

MATRON. 

St.  John's  Hospital  Charity,  Winchester.  —  Miss 
Annie  Manning  has  been  appointed  Matron-  She 
was  trained  at  the  Hackney  Union  Infirmary, 
London,  and  has  been  Superintendent  Nurse  at 
Oulton  Infirmary,  near  Lowestoft,  and  at  the 
Union  Infirmary,  Basingstoke,  Hants. 

OUT-PATIENT    SISTER. 

Great   Northern    Central   Hospital,  HoUoway  Road, 

N. — Miss  Amy  Martin  has  been  appointed 
Outpatient  Sister.  She  was  trained  at  the  Royal 
Free  Hospital,  and  has  been  Sister  at  the  Royal 
Albert  Hospital,  Devonport ;  and  at  the  National 
Hospital,    Queen's    Square,    W.C. 

QUEEN    ALEXANDRA'S   IMPERIAL    MILITARY 
NURSING    SERVICE. 

Sister  Mrs.  E.  Grazebrook  resigns  her  appoint- 
ment (August  26th). 

THE    NATION'S   TRIBUTE   TO    IRISH 
NURSES. 

The  Fund  for  tha  Tribute  to  Irish  Nurses  is 
progressing  slowly,  not  more  than  half  the  amount 
required  being  so  far  subscribed.  The  Fuad, 
which  wi^l  be  administered  by  an  Irish  Committee, 
is  intended  to  benefit  civilian  as  well  as  war  nurses. 

LEGAL  MATTERS. 

The  trial  of  Eva  Grace  Thompson,  who  claims 
to  be  a  trained  nurse,  on  a  charge  of  wilful  murder 
will  take  place  at  the  Old  Bailey,  and  may  come  on 
for  hearing  next  week. 


MURSlNti    ECHOES. 


A  serious  charge  was  preferred  against  a  woman 
named  Tomkinson  at  the  West  Ham  Police  Court 
on  Monday,  namely  oi  attempting  to  procure 
abortion  in  six  cases.  She  is  not  a  certified  mid- 
wife, but  was  at  one  time  assistant  to  a  chemist. 

LECTURES    TO    MASSAGE    STUDENTS. 

Masseuses,  and  nurses  who  are  studying  for  their 
massage  certificates  •will  be  glad  to  know  that  a 
series  ©f  classes  in  Anatomy  for  Massage  Students, 
beginning  on  Monday,  October  7th,  have  been 
arranged  at  the  London  (Royal  Free  Hospital, 
School  of  Medicine  for  Women,  6,  Hunter  Street) 
Brunswick  Square,  W.C.  i.  Demonstrations  on 
the  cadaver  will  be  given  on  Mondays,  Tuesdays, 
Thursdays  and  Fridays  at  5.30  throughout  the 
Autumn  term,  under  -the  direction  of  Dr.  Mary 
Lucas-Keene,  and  Dr.  Joyce  Partridge.  Further 
particulars  may  be  obtained  from  Miss  L-  M. 
Brooks,  Warden  and  Secretary. 

RESIGNATION. 

Many  nurses  and  midwives  who  appreciate  the 
excellence  of  the  training  they  have  received  at 
the  Rotunda  Hospital,  Dublin,  under  the  able 
Superintendence  of  Miss  L.  Ramsden,  will  learn 
with  regret  of  her  resignation  of  this  important 
position,  after  over  20  years*  service  in  the  insti- 
tution, for  a  short  time  as  Assistant  to  Miss 
Hampson  and  then  as  Lady  Superintendent. 


At  the  recent  Annual  Meeting  of  Princess 
Christian's  District  I^ursing  and  Maternity 
Home  at  Windsor  a  letter  received  from  the 
Town  Clerk  of  Windsor  proved  how  much  the 
work  of  the  Home  is  appreciated  in  the  town. 

The  letter  stated  that  it  has  been  decided  to 
give  a  donation  of  ;^io  los.  per  annum  to  the 
funds  of  H.R.H.  Princess  Christian's  Mater- 
nity Home  as  a  recognition  of  the  excellent 
work  which  the  nurses  of  the  Home  are  doing, 
and  the  great  use  that  their  services  are  to  the 
poor  of  Windsor. 


We  continue  to  receive  enquiries  as  to  the 
prospects  for  those  who  undergo  a  course  of 
training  with  the  view  of  faking  up  laboratory 
work  as  described  'by  Dr.  Kynvett  Gordon  in 
this  Journal,  and  we  are  informed  that  Dr. 
Gordon  has  also  been  "  inundated  "  with 
enquiries.  After  a  course  of  training  extending 
over  three  months,  the  prospects  for  a  candi- 
date who  successfully  passes  the  subsequent 
examination  are  good,  as  she  would  probably 
easily  obtain  the  post  of  junior  assistant  at  a 
commencing  salary  of  ;^2  2s.  a  week. 


The  National  Union  of  Women 'Workers  of 
Great  Britain  and  Ireland  has  issued  a  pam- 
phlet on  the  National  Health  Insurance  Act  of 
1918,  which  sets  forth  clearly  and  concisely  the 
most  important  of  the  changes  effected  by  the 
Act.  Nurses  who  are  insured  under  the  Act 
would  do  well  to  obtain  and  study  this  leaflet. 
It  is  obtainable  from  Miss  Norah  E.  Green, 
Secretary  National  Union  of  Women  Workers, 
Parliament  Mansions,  Victoria  Street,  London, 
S.W.  I,  price  ^d.  per  copy,  or  id.  post  free, 
or  4s.  6d.  per  100,  post  free. 


The  question  as  to  whether  hospital  nurses 
who  have  latch  keys  are  entitled  to  the  Parlia- 
mentary Franchise  is  one  upon  which  a  decisive 
decision  should  be  obtained,  and  we  advise  all 
nurses  who  are  provided  with  latch  keys  to 
rrake  a  point  of  inquiring  from  the  proper 
authorities  whether  or  not  they  are  entitled  to 
a  vote.  We  learn  that  the  private  nurses  on 
the  staff  of  St.  John's  House,  Queen  Square, 
Bloomsbury,  each  have  the  use  of  a  latch  key 
when  in  residence  between  their  cases.  What 
is  the  position  in  this  case? 


At  Omagh  Revision  Sessions  the  claim  of 
Miss  L.  H.  Hayes,  Matron  of  the  Tyrone 
County  Hospital,  for  a  vote  out  of  apartments 
in   that   institution   was  admitted,    whilst   the 


September  7,  1918       ^j)e  BHtisb  Soumal  of  IRiirsino. 


»57 


claims  of  Sisters  Clarke  and  Brown,  one  of 
whom  belonged  to  each  side,  were  also  ruled 
on  without  prejudice,  but  the  claims  of  a  dozen 
of  the  regular  nursing  staff  were  disallowed. 


A  contemporary  says  : — '*  If  the  service 
franchise  does  not  apply  to' nurses,  it  is  difficult 
to  see  to  whom  it  would  apply,  and  it  is  to  be 
hoped  that  nurses  in  hospitals  and  institutions, 
if  refused  their  vote  by  the  local  authority,  will 
appeal  to  the  county  court." 


It  is  stated  that  Lady  Rhondda  has  definitely 
decided  to  claim  a  seat  in  the  House  of  Lords 
as  a  peeress  in  her  own  right. 


SUMMER  SCHOOL  OF  CIVICS  AND 
EUGENICS,  1918. 


The  above  school,  held  in  Oxford  during  the 
last  fortnight  in  August,  proved  of  the  greatest 
interest  to  those  few  members  of  the  nursing 
and  midwifery  professions  able  to  attend,  among 
them  Miss  Olive  Haydon  (lately  Sister  Olive  of 
York  Road),  Miss  Palmer  (Senior  Health  Visitor 
for  Brighton),  Miss  Tipper  (Organiser  for  the 
National  Council  for  Combating  Venereal  Disease), 
and  several  members  of  the  National  Union  of 
Trained   Nurses. 

Beside  the  lectures,  a  considerable  number  of 
discussions — more  or  less  informal — were  held, 
on  such  subjects  as  "  The  Problem  of  the  Un- 
married Mother  and  Her  Child,"  "  Police  Women 
and  Women  Patrols  as  regards  Prostitution," 
"  Treatment  for  Habitual  Criminals,"  together 
with  countless  smaller  discussions  held  on  every 
opportunity  by  the  "  workers  "  themselves 
on  their  own  particular  subjects.  And,  as  one 
nurse  student  remarked,  "  No  matter  what 
subject  is  under  discussion,  nursing  seems  to 
come  into  it  ;  one  can  always  either  give  some 
special  piece  of  information  .required,  or  get 
information  oneself  on  some  point  that  has 
puzzled  one  in  dealing  with  social  problems." 

Certainly,  one  seldom  has  the  opportunity  of 
meeting  so  many  intelligent  and  keen  workeis — 
all  interested  in  the  same  great  subject,  namely, 
y  The  Betterment  of  the  Race  and  how  to  obtain 
it."  If  one  must  select  subjects  which  were  of 
special  interest  to  nurses,  those  on  Venereal 
Disease  and  the  great  campaign  to  educate  the 
civilian  population;  a.]so"  Fatigue  and  Efficiency 
by  Professor  Stanley  Kent,  showing  how  long 
hours  and  insufficient  rest  affect  the  output  of 
good  work,  came  home  to  many  a  nurse.  This 
subject  had  previously  been  dealt  with  in  a 
"  Psychology  Lecture,"  showing  a  series  of  most 
interesting  charts  and  experiments,  given  by 
Miss   May    Smith. 

If  one  may  ciiticise — "  The  Work  of  the  Oxford 


Infant  Welfare  Association,"  though  most  interest- 
ing as  given  by  Mrs.  Wells,  who  openly  stated  she 
was  only  an  amateur,  made  some  of  the  pro- 
fessional nurses  wish  the  lecture  had  been  given 
by  a  leader  on  the  subject — more  especially  as 
Sister    Olive    was    amongst   the    audience  !  ,.  i  ^, 

Both  Sister  Olive,  who  spoke  on  the  great 
need  of  an  expert  being  in  charge  of  and  giving 
all  the  advice  at  all  centres,  and  Miss  Cancellor, 
who  spoke  of  the  value  of  the  voluntary  workers 
being  trained  and  also  encouraged  to  learn  the 
management  of  infants,  so  that  the  centres  could 
spread  knowledge  into  the  nurseries  of  the  educated 
as  well  as  the  poor,  made  their  points,  and  were 
asked  many  questions  later  by  students  interested. 

Another  interesting  suggestion  was  made  by 
Mr.  Peake,  i.e.,  that  both  in  the  study  of  regional 
survey  and  in  the  collection  of  folk-lore.  Health 
Visitors  and  District  Nurses  would  find  a  great 
interest  and  also  be  able  to  collect  many  interesting 
facts  ;  he  suggested  that  folk-lore  societies  would 
be  very  pleased  to  send  particulars  and  forms  to 
any  nurses  ready  to  take  up  this  fascinating 
study. 

The  School  broke  up  with  a  delightful  im- 
promptu party  ;  with  "  Story-telling  "  at  its 
best,  by  Miss  Elizabeth  Clark,  and  lightning 
sketches  of  dream-creatures  seen  after  the  Biology 
Lectures,  given  by  another  talented  student, 
Professor  Laurie,  who  had  given  the  lectures, 
joining  in  the  laugh  more   heartily  than   anyone. 

If  the  Summer  School  meets  next  year,  nurses 
are  most  strongly  advised  to  take  this  chance  of 
meeting  so  many  other  workers  and  hearing  all 
the  most  recent  discoveries  made  on  all  social 
progress. 


WAR   NURSING. 

An  interesting  book  on  War  Nursing  by  Professor 
Richet,  of  the  University  of  Paris,  translated  by 
Helen  de  Vere  Beauclerk,  is  published  by  Messrs. 
Heinemann,  21,  Bedford  Street,  London,  W.C., 
price  3s.  6d.  It  deals  with  the  elementary  data 
of  medical  physiology,  and  the  subject  >  discussed 
ara  anti-sepis,anaesthesia,foods,  haemorrhage, fever, 
and  asphyxia.  It  is  primarily  intended  for  Red 
Cross  Workers,  and  is  admirably  designed  for 
this  purpose. 


A     WORD     TO    THE     WISE. 

Nurses  in  the  Marylebone  district  will  be  well 
advised  to  pay  a  visit  to  the  establishment  of 
Messrs.  Gayler  &  Pope,  Ltd.,  at  11 2-1 17,  High 
Street,  Marylebone,  W.  i,  w^here  are  to  be  found 
uniform  coats  and  cloaks  and  bonnets  to  suit 
diverse  tastes  and  purses.  The  present  is  an 
opportune  moment  for  the  renewal  of  uniform, 
both  because  the  advent  of  September  reminds 
us  that  it  is  time  to  think  about  winter  garments, 
and  also  because  prices  are  certain  to  mount 
higher  than  at  present,  and  the  wise  are  those  who 
provide  for  their  needs  forthwith. 


158 


^bc  British  3ournal  of  IRuretng.        September  7,  1918 


BOOK    OF   THE   WEEK. 


"CAPTAIN  DIEPPE."* 

It  is  a  long  time  sin.ce  we  have  enjoyed  any  long 
story  from  Mr.  Anthony  Hope's  pen. 

"  Captain  pieppe  "  is  a  romance  peculiar  to 
his  style,  and  written  with  his  peculiar  grace. 

It  is  not  perhaps  on  as  high  a  platform  of  merit 
as  some  of  his  earlier  works,  but  he  cannot  help 
being  charming,  nor  can  his  characters  fail  to 
either  attract  or  repel . 

"  Captain  Dieppe  "  is  full  of  improbabilities  and 
impossible  situations  ;  were  it  not  so  it  could  not 
be  the  product  of  Mr.  Hope's  pen.  Its  plot  is 
elusive,  and  dif&cult  to  bring  into  the  matter-of- 
fact  atmosphere  of  criticism. 

Who  and  what  Captain  Dieppe  was  doesn't  seem 
to  matter  much,  suf&ce  it  to  say  he  was  an  attrac- 
tive, so  it  is  implied,  gentleman  in  the  thirties, 
who  carried  on  his  person  papers  of  importance. 
Our  readers  will  learn  as  much  about  him  as  we 
know  ourselves  from  the  following  paragraphs. 

Fresh  from  the  failure  of  important  plans,  if 
not  a  fugitive,  still  a  man  to  whom  recognition 
would  be  inconvenient  and  perhaps  dangerous, 
with  fifty  francs  in  his  pocket,  and  his  spare  ward- 
robe in  a  knapsack  on  his  back,  without  immediate 
prospect  of  future  employment  or  replenishment  of 
his  purse,  he  marched  up  a  long,  steep  hill  in  the 
glowing  dusk  of  a  stormy  evening. 

The  Captain  whistled  and  sang.  What  a  fright 
he  had  given  the  ministers,  how  nearly  he  had 
brought  back  the  Prince,  what  an  uncommon  and 
intimate  satisfaction  of  soul  came  from  carrying 
under  his  wet  coat  lists  of  names,  letters  and  what 
not,  all  capable  of  causing  tremors  in  high  places. 
He  broke  off  whistling  to  observe  aloud  : 

"  Mark  this,  it  is  to  very  few  there  comes  a  life 
so  interesting  as  mine,"  and  his  tune  began  again 
with  almost  rollicking  vigour." 
Thus  Captain  Dieppe  ! 

The  drenched,  but  unquenchable  Captain  finds 
himself  shortly  afterwards  entertained  in  a  hand- 
some house,  and  quite  easily  became  the  guest  of 
the  young  Count  Fieramondi. 

"  Stay  with  me,"  said  the  Count,  "  for  to-night 
at  least,  and  as  much  longer  as  you  will.  Nobody 
will  trouble  you.  I  live  in  solitude,  and  your 
society  will  lighten  it.  Let  me  ring  and  give 
orders  for  your  entertainment." 

Dieppe  looked  up  at  him.  ,"  With  all  my  heart, 
dear  host.  Your  only  dif&culty  shall  be  to  get  rid 
of  me." 

He  was  accommodated  in  the  "  Cardinal's 
Room,"  which  his  host  informed  him  he  had 
himself  until  lately  occupied. 

"  I  left  it  owing  to — er — circumstances." 
"  His  Eminence  is  restless  ?  " 
"  I  beg  pardon  ?  " 
"  I  mean — a  ghost  ?  " 

"  No,  a  cat  I "  was  the  Count's  surprising 
answer. 

•  Skefl&ngton  &  Son,  Ltd.     6s. 


And  the  cat  was  connected  with  a  lady,  and  the 
lady  was  the  Count's  wife,  and  the  relations 
between  them  were  somewhat  strained. 

"  My  wife  and  I  are  not  in  agreement.  She 
lives  in  the  right  wing  with  two  servants,  and  I 
live  in  the  left  with  three." 

Captain  Dieppe  being  of  an  enquiring  turn  of 
mind  is  not  long  before  he  makes  {sub  rosa)  the 
acquaintance  of  the  lady  in  the  right  wing,  and 
the  meeting  is  described  in  Mr.  Hope's  best 
inconsequent  manner. 

"  Sir,"  said  a  timid  voice  at  his  elbow. 
Dieppe  shot  round,  and  then  and  there  lost  his 
heart.  One  sight  of  her  a  man  might  endure  and 
be  heart-whole — ^not  two.  There,  looking  up  at 
him  with  the  most  bewitching  mouth,  the  most 
destructive  eyes,  was  the  lady  he  had  seen  at  the 
end  of  the  passage 

"  Madame  la  Comtesse  ?  "  stammered  the 
dazzled  Captain. 

"  Yes,  yes  ;  but  never  mind  that.  Who  are 
you  ?  "  ■ 

"  My  name  is  Dieppe,  madame.  Captain 
Dieppe  at  your  service." 

As  the  gallant  Captain  had  surprised  an  inter- 
view between  the  lady  and  a  young  man,  evidently 
of  a  secret  nature,  he  is  sharply  rebuked  for  his 
blundering. 

"  Tell  me  what  I  must  do,"  implored  the  Cap- 
tain. 

She  looked  at  him  kindly,  partly  because  he 
w;as  a  handsome  fellow,  partly  because  it  was  her 
way,  and  she  said  with  the  prettiest,  simplest  air, 
as  though  she  were  making  the  most  ordinary 
request  and  never  thought  of  refusal : 

"  Will  you  give  me  fifty  thousand  francs  ?  " 
To  this  modest  request  the  Captain  replied  that 
he  had  but  fifty  in  the  world,  but  he  set  himself  to 
retrieve  the  compromising  papers  from  Paul  de 
Roustache,  by  more  exciting  and  decidedly  less 
dull  means  than  by  merely  paying  the  price  in 
cash. 

And  these  two  went  through  a  wild  adventure 
to  attain  their  object,  and  Dieppe  having  done  his 
part  handsomely  found  himself  in  the  extremely 
awkward  position  of  being  deeply  and  profoundly 
in  love  with  his  host's  wife. 

And  then  comes  the  grand  finale,  when  Dieppe 
discovers  that  his  charming  lady  is  not  the  Countess 
after  all,  but  her  cousin  ;  and  that  she  and  the  real 
Countess  have  for  involved  reasons  of  their  own 
been  hoaxing  both  him  and  the  Count. 

"  I  am  the  happiest  fellow  in  the  world,"  he 
declared  ;  "  and  that,"  he  added,  as  though  it 
were  a  rare  and  precious  coincidence,  "  with  my 
conscience    quite    at    peace." 

As  to  the  consciences  of  the  two  very  ingenious 
young  ladies — ^the  Countess  of  Fieramondi  and  her 
cousin.  Countess  Lucia — the  problem  is  more 
difi&cult.  The  Countess  never  confessed  and 
Lucia  never  betrayed  the  secret. 

What  their  secrets  really  amounted  to  we  must 
beg  our  readers  to  discover  for  themselves. 

H.  H. 


TTie  Prttish  Journal  of  jVurtmn,  Seistrmber  7.  19J8. 


"  Science  is,  I  believe, 
nothing  but  trained  and 
organized  common-sense, 
differing  from  the  latter 
only  as  a  veteran  may 
differ  from  a  raw  recruit : 
and  its  methods  diffc 
from  those  of  common- 
sense  only  so  far  as  the 
Guardsman's  cut  and 
thrust  differ  from  the 
manner  in  which  a  savage 
wields  his  club." 

Profeaor  Huxley. 


The  Basis 
of 
Science 


BOOTS  PURE  DRUG  COMPANY  LIMITED  wish  to  draw  the 
attention  of  the  medical  profession  to  the  following  seven  scientific 
preparations.  Practitioners  who  endeavour  to  keep  abreast  of  the  times 
will  find  these  modern  antiseptics  of  superlative  value  in  general  practice. 


TABLETS  OF  CHLORAMINE-T 

One  tablet  dissolved  in  two  ounces  of  water  makes 
•  one  per  cent,  solution. 

Bottles  of  25,  8*75  grain  tablets,  l/> 

50 2/- 

100 3/9 

One  tablet  dissolved  in  ten  ounces  of  water  makes 
a  one  per  cent,  solution. 

Bottles  of  12  43-75  grain  tablets,  1/10  . 

CHLORAMINE-T  CREAM 

Containine  approximately  one  per  cent.  Chlora- 
mine-T.  Described  and  investigated  under  the 
name  of  Chloramine  Paste  by  Vincent  Daufresne, 
Carrel,  Hartmann  and  others,  in  the  Journal  of 
Eiperimtnlal  MtJidne,  1917. 

In  Pots.    Trial  size.  9d. :  larce  size,  2/8. 

TABLETS  OF  PROFLAVINE 

(with  todium  chloriJt). 

One  tablet  dissolved  in  four  fluid  ounces  steriU 
water  makes  1:1000  Proflavine   in   normal  salin*. 

Bottles  of  100  tablets,  3/6 

DAKIN'S   NEW  WATER    DISINFECTANT. 
Vida  B.M.J..  May,  1917. 

The  action  of  Halazone  is  positive,  and  may  be  relied  upon  for  crudest  waters.  Each  tablet  is  sufficient  to 
sterilize  one  quart  of  contaminated  water,  but  in  cases  of  extreme  contamination  a  second  tablet  may  b« 
necessary.    Halazone  is  invaluable  for  those  on  active  service  overseas,  more  particularly  in  hot  climates. 

Bottles  of  100  tablets,  6d. 

Supplies  are  available  for  prescription  service  on  application 
through  any  o/  the  iranchcM  of  BOOTS  IM  CHEMISTS. 

Boots  Pure  Drug  Company  Limited 

MANUFACTURING    CHEMISTS    AND   MAKERS   OF   FINE   CHEMICALS. 
Head  Offices:    Station  StrMt.  NoMiasham.        JESSE  BOOT.  Maoacina  DirecMr. 


CHLORAMINE-T 

(p-lolutne-ieJium-tulphochloTamiJe). 

Dakin's  ideal  antiseptic,  of  wide  applicability  in 
medicine  and  surgery. 

In  bottles  of  loz..  1/2:  4oz.,  3/6:  lib..  12/8 

CHLORAMINE-T  GAUZE 

In  two  strenRths,  containing  approximately  5% 
and  35%  Chloramine-T.  (5%  supplied  unless 
otherwise  specified).  This  should  be  fixed  dry 
and  subsequently  moistened,  if  necessary,  when 
in  position. 

In  scaled  packages  only,  price  1/6  per  package. 

PROFLAVINE 

(3'6  diamina-acridlnt-tulphale). 
The  improved  Flavine  derivative. 

Equal  in  antiseptic  poi«ers  to  Acriflaoine,  and  in 
important  respects  superior,  being  markedly  less 
toxic  and  less  irritating.  Proflavine,  being  less 
costly  to  manufacture,  can  be  sold  at  a  substantially 
lower  price  than  Acriflavine. 

5  gram  bottle,  1/4 :  20  gram  bottle,  &/• 

HALAZONE  TABLETS. 


i6o 


Zbe  British  3ournal  of  flureinfi. 


September  7,   1918 


LETTERS  TO  THE  EDITOR. 


Whilst  cordially  inviting  communications  upon 
all  subjects  for  these  columns,  we  wish  it  to  be 
distinctly  understood  that  we  do  not  in  any  way 
hold  ourselves  responsible  for  the  opinions  expressed 
by  our  correspondents. 

THE    KINO'S    FUND    FOR    THE     DISABLED. 
WHO  WILL  FOLLOW  HIS  MAJESTY  5  LEAD  ? 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Madam, — His  Majesty  the  King  has  been 
graciously  pleased  to  give  not  only  his  name,  but 
also  the  magnificent  sum  of  ^^78,000  to  the  Fund 
which  was  recently  inaugurated  to  assist  disabled 
ofi&cers  and  men  of  the  Navy,  Army  and  Air  Force 
to  become  useful  members  of  the  community 
again. 

We,  the  Trustees  of  the  Fund,  for  whom  I  sign 
as  Chairman,  appeal  to  the  humanity,  the  grati- 
tude, of  every  one  of  your  readers — man,  woman 
and  child — ^for  a  subscription  which  will  help  to 
find  a  new  place  in  civil  life  for  officers  and  men  of 
His  Majesty's  Forces  disabled  in  the  War,  and  for 
the  widows  and  children  of  officers  and  men  who 
have  given  their  lives  for  us. 

"  Why  doesn't  the  Government  do  that  ?  " 
some  readers  will  ask. 

Briefly,  a  State  Pension  scale  must  be  hard  and 
fast.  Outside  that  scale  there  is  a  great  human 
field  which  the  King's  Fund  can  cover  in  which 
the  officer,  the  man,  or  the  dependent  can  be  put 
on  his  or  her  feet,  and  given  a  sound  re-establish- 
ment in  civil  life. 

A  State  Scheme  must  be  a  classification  according 
to  the  type  ;  the  King's  Fund  passes  beyond 
classification,  and  acts,  not  as  a  public  official,  but 
as  a  private  friend. 

The  present  facts  are  : — 

We  are  receiving  600  applications  a  week. 
2,500  cases  have  been  dealt  with  thus  far.  Where 
the  officer  or  man  has  been  trained  by  the 
Ministry  of  Pensions  or  where  there  is  a  business 
given  up  for  War  Service,  which  he  can  restart,  an 
adequate  grant  can  be  made. 

The  Fund  is  a  Monument  of  Gratitude. 

It  will  cheer  our  gallant  fighters  to  see  that 
monument  rising  to  ;/^3,ooo,ooo — ^the  amount 
aimed  at. 

So  let  us,  therefore,  have  the  money — and 
quickly.     Urgent  cases  are  waiting.  | 

The  King  leads  off  with  his  great  gift  of  ;^78,ooo. 

Who  will  follow  the  King's  lead  ? 

Contributions  should  be  sent  to  The  King's  Fund 
for  the  Disabled,  Westminster  House,  Millbank, 
S.W.  I. 

All  cheques  and  postal  orders  should  be  crossed. 
For  the  Trustees, 

John  Hodge,  Chairman. 

AN     INTERESTINQ    COMPARISON. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — The  paragraphs  with  regard  to 
the   Royal   Air   Force   Nursing   Service   in   The 


British  Journal  of  Nursing  and  F.S.  Form  144 
make  a  very  interesting  compaiison  and  provide 
a  very  clear  answer  to  why  there  is  such  a  serious 
shortage  of  probationers.  Most  parents  are  now 
carefully  considering  such  information  and  invesi  i- 
gating  conditions  of  service  and  possible  chances 
in  the  professions  open  to  their  daughters. 

The  following  information  does  not  include  the 
Matron s-in-Chief  or  highest  officers  in  either 
department  : — 

OFFICERS    OF   WOMEN'S    ROYAL  AIR   FORCE. 

Nursing    Service    after    Three    Years' 
Training. 
Matron       . .  . .  ^75 


Sjpt.  Sister 
Sisters 
Staff  Nurses 


£50 
/40 


Board  and  lodging  pro- 
vided and  a  yearly 
increment. 


General  Service  after  Three  Weeks'  Training 
Area  Inspector     ,  .;^20o 


Quarters  provided  and 
/40  6s.  deducted  for 
board.  Outfit  allow- 
ance,   ;^20. 

First-class  travelling 
expenses  and  15s.  per 
day  when  on  duty 
away  from  Head- 
quarters. 


Hostel  Administra 
tor  ..  '•£'^75 

Deputy  Hostel  Ad- 
ministrator       . ./150 

Assistant       Hostel^ 
Administrator  .  .£120 

Technical  Adminis- 
trator     . .  .  •;^I50 

Assistant  Technical 
Administrator  .  .^120 

Is  it  any  wonder  that  it  is  necessary  to  inform 
nurse-^  in  Military  and  Civilian  Hospitals  that  they 
will  not  be  accepted  without  perriiission  from 
employers  ? 

Yours  faithfully. 

Interested. 

AN  AUSTRALIAN  POINT  OF  VIEW. 

To  the  Editor  of  The  British  Journal  of  Nursing. 

Dear  Madam, — Please  find  enclosed  postal  note 
for  subscription  for  British  Journal  of  Nursing. 
I  am  always  very  pleased  to  get  the  Journal,  as 
I  consider  it  the  most  reliable  nursing  paper,  all 
matters  in  it  being  handled  by  professional  nursing 
experts  not  by  lay  people.  I  hope  your  State 
Registration  Bill  will  soon  go  through,  then  your 
power  as  a  woman  voter  registered  nurse  will  be 
greatly  increased.  We  are  trusting  our  Bill  will 
come  on  during  the  Session  which  opens  soon. 
We  think  most  of  the  members,  both  Liberal  and 
Labour,  are  sympathetic  in  their  views  re  our 
request. 

Wishing  your  Journal  continued  success  ajid 
power. 

I  am,  faithfully  yours, 

Gretta  Lyons. 

Melbourne,  Victoria. 


OUR 


PRIZE     COMPETITION. 

QUESTIONS. 

September  14th. — ^What  do  you  know  of  Ex-oph- 
thalmic Gditre,  its  symptoms,  and  nursing  care  ? 

September  21st. — ^What  is  the  function  of  the 
blood  ?     Why  may  hiemorrhage  cause  death  ? 


September  7,  1918  ji\)c  »rttt0b  Soumal  of  fluratna  Supplement     i^r 

The   Midw^ife. 


THE  CENTRAL  MIDWIVES'  BOARD. 


LIST    OF    SUCCESSFUL  CANDIDATES. 

At  the  examination  of  the  Central  Midwives' 
Board,  held  on  August  ist,  in  London  and  the 
Provinces,  494  candidates  were  examined  and 
400  fJassed  the  examiners.  The  percentage  of 
failures   was    ig. 

^  London. 

British    Hospital    for    Mothers    and    Babies. — 

D.  A.  Braithwaite,  L.  M.  Stock. 

City  of  London  Lying-in  Hospital. — D.  M. 
Amos,  E.  M.  Gaskell,  M.  Griffiths,  F.  A.  Hewson, 
R.  E.  Langridge,  C.  F.  Longstreeth,  K.  E.  McCon- 
ville,  J.  McDougall,  M.  A.  Neville,  A.  F.  Smith, 
B.  Wade. 

Clapham  Maternity  Hospital. — D.  W.  Adims, 
L.  E.  M.  Bruno,  I.  J.  Chilton,  E.  Doulton,  A.  W. 
Freke,    L.   M.    Lott,   P.   A.   Thorpe. 

East  End  Mothers'  Home. — ^M.  Anderson,  D. 
Bartlett,  M.  T.  E.  Collard,  S.  E.  Derrick,  E. 
Dickin,  M.  McR.  Djgtid,  N.  D.  Jones,  J. 
Llewellyn,  D.  L.  Metzgar,  A.  M.  Pape,  E.  Smallev, 
A.  M.  M.  Stone,  R.  M.  Strudwick,  L.  Welsh." 

Elizabeth  Garrett  Anderson  Hospital. — F.  E. 
Nicholson,   A.   H.   Turner. 

General  Lying-in  Hospital. — C.  Bream,  R.  E. 
Cole,  F.  S.  Cox,  M.  C.  Edwards,  K.  M.  Forwood, 
M.  E.  Giles,  A.  L.  Glover,  E.  L  Harker,  J.  E. 
Heywood,  A.  Husband,  A.  A.  Kendall,  F.  E. 
Kewley,  E.  M.  Lyth,  C.  Montrose,  D.  J.  Mortinore, 
M.  L.  Newsome,  H.  Pea.te,  N.  Pleydell-Bouverie, 
F.  E.  Sampson,  E.  K.  Seamer,  R.  O.  Wall,  J. 
Westnidge. 

Greenwich    Union  Infirmary. — A.    R.   Hainan, 

E.  A.  Huggett,  L.  M.  B.  Nawells. 

Guy's  Institution. — J.  Murray,  E.  M.  Patrick, 
S.   A.   Taylor,   L.   D.   Whartcn. 

Hackney  Union  Infirmary. — D.  E.  Martin, 
,L.   E.  Townshend. 

Kensington  Union  Infirmary . — N.  Clogg,  E.  A. 
Haggett,  M.  P.  Northrop. 

Lambeth  Parish  Workhouse. — E.  M.  Bate,  A. 
Stock. 

London  Hospital. — J.  L.  Abraham,  G.  M.  Cook, 
M.  E.  England,  M.  M.  Grand,  A.  John,  A.  H. 
Norrish,  R.  A.  Thompson,  M.  J.  Wilson. 

Maternity  Nursing  Association. — L.  K.  Banwell, 
A.  A.  Curie,  E.  B.  Dawson,  E.  Hurlstone,  M.  A. 
Joiner. 

Middlesex  Hospital. — D.  M.  Badock,  H.  M. 
Barber,  D.  W.  Hay.  M.  Leaver,  A.  L.  Read,  M. 
Waterton. 

Plaistow  Maternity  Charity. — E.  Benson,  F.  H. 
Bridges,  M.  A.  Broomfield,  N.  Dibble,  A.  H. 
Duffield,  C.  N.  Golde-,  D.  C.  Hawson,  M.  A.  Hill, 
M.  E.  Hughes,  P.  Isaac,  E.  C.  Jackson,  H.  E. 
Jackson,  J.  Liens,  E.  Long,  E.  F.  S.  Mackenzie, 


A.  A.  Martin,  E.  Meredith,  M.  A.  J.  Mills,  M. 
Morgans,  A.  Newton,  F.  Oxtoby,  E.  G.  Payne, 
G.    M.    Roberts,    V.    Roberts,    E.    A.    Simmons, 

B.  W.  Smith,  E.  Tointon,  E.  A.  Townell;  E.  True, 
M.  A.  Watson,  N.  A.  M.  Webb,  M.  W.  Wellard, 
L.  Booth. 

Queen  Charlotte's  Hospital. — L.  M.  W.  Bower, 
L.  S.  Church,  M.  G.  Church,  L.  Coates,  L.  M.  Cole, 
M.  A.  Cooper,  O.  M.  Cooper,  M.  L.  Gill,  K.  M. 
Hawkins,  A.  M.  K.  Hewitt,  E.  Hey,  H.  E.  Jones, 
E.  G.  Kay,  H.  MacGregor,  A.  N.  Menzies,  M.  K. 
Millard,  M.  J.  Phillips,  M.  E.  Simpson,  D.  Swain, 
A.  M.  Tester,  W.  P.  Tollman,  E.  Wilkes,  E. 
Wi'Iiamson,  N.  Woodward. 

Salvatioft  Army  Mothers'  Hospital. — ^M.  E. 
Drury,  E.  J.  Finley,  E.  Long. 

St.  Thomas'  Hospital. — J.  A.  Breach,  H.  D. 
Campbell,  K.  M.  R.  Carmichael,  D.  J.  Cass. 

University  College  Hospital.- — G.  Dale,  D.  Eden- 
borough,  A.  J.  M.  Twine,  C.  A.  Wetherspoon. 

Wandsworth   Union  Workhouse. — ^W.  B.  Dann, 

C.  Walker. 

West  Ham  Workhouse. — F.  I.  More,  K.  S. 
Whitehead. 

Whitechapel  Union  Infirmary. — ^M.  A.  Brown, 
E.  O'Connor,  R.  WiHgrees. 

Provincial. 

Aldershot,  Louise  Margaret  Hospital. — ^M.  E. 
Nuttall. 

Birkenhead  Maternity  Hospital. — E.  Dugdale. 

Birmingham  Maternity  Hospital.. — M.  A.  Bailey, 
H.  B.  Campbell,  M.  Ellis,  M.  N.  K.  V.  Haise,  W.  A. 
Hyde,  S.  E.  Jones,  W.  M.  Lardixci,  G.  M.  Gates, 
E.  E.  Thirkell,  M.  Wallis,  K.  A.  Warren,  A.  H. 
Williamson. 

Birmingham,  Selly  Oak  Union  Infirmary. — E. 
Beddoe.  G.  T.  B.  Leach. 

Birmingham  Workhouse  Infirmary  and  Aston 
Union  Workhouse. — E.  E.  Golby,  A.  M.  Hall. 

Birmingham  Workhouse  Infirmary . — A.  M.  Pack- 
wood. 

Bradford  Union  Hospital. — H.  Whalley. 

Brighton  Hospital  for  Women. — E.  C.  Cameron, 
G.  Carter,  M.  Rist,  J..  Rook,  L  G.  Scott. 

Bristol  General  Hospital. — D.   M.   H.   Michell, 

D.  A.  Russell,  L.  M.  A.  Smith. 

Bristol  Royal  Infirmary. — E.  A.  Butt,  A.  M. 
Farrant,  H.  K.  Halls. 

Cheltenham  District  Nursing  Association. — A. 
Bradley,  M.  P.  Cross. 

Chester    Benevolent    Institution.— K.    Griffiths, 

E.  E.  Owen. 

Derby,  Royal  Derbyshire  Nursing  Association. — 
C.  E.  Baxter,  H.  M.  Burnie,  S.  Evans,  L.  Heslop, 
E.  Rose,  E.  S.  Souch,  L.  J.  Timm. 

Devon  and  Cornwall  Training  School.— ^A.  Batten, 
M.  J.  Brown,  A.  J.  Gurrowich,  E.  B.  Hilt,  E.  E. 
Mawdsley,  L.  Pethybridge,  M.  E.  Striplin. 


'62      zbc  3Briti0b  3ournal  of  "Wurelnc  Supplement  September  7,  191^ 


Devonport,  Alexandra  Nursing  Home. — B.  M. 
Dickson,  E.  M.  Dunning,  M.  Hamilton,  H. 
Sercombe. 

Eccleshall Bierlow  Union  Infirmary. — E.  Watson. 

Gloucester  District  Nursing  Society. — S.  Colier, 
Lewis,  S.  Thomas. 

Herts  County  Nursing  Association. — C.   Lister, 

.  Tunwell,  E.  M.  Vincent. 

Huddersfield  District  Nursing  Association  and 
Huddersfield  Union  Infirmary. — ^M.  E.  Armitage. 

Htill  Lying-in  Charity. — E.  M.  Petty. 

Ipswich  Nurses'  Home. — C.  Clark,  E.  Raven, 
A.  B.  Taylor. 

Leeds  Maternity  Hospital. — F.  Abbott,  J.  A. 
Bell,  M.  A.  Carr,  C.  W.  Cowan,  D.  S.  G.  Hirst,  A. 
HoUiday,  E.  Holmes,  E.  Johnson,  M.  E.  Margeri- 
son,  O.  N.  Musgrave,  E.  Oldfield,  M.  K.  Parke, 
M.  J.  Rolling,  E.  Rowe,  E.  Southworth,  L.  C. 
Spice,  M.  A.  Warlow,  I.  Woodall,  I.  A.  Woodley, 
H.  T.  Young. 

Leeds  Union  Infirmary . — E.  Chippendale. 

Leicester  Maternity  Hospital. — G.  E.  Barnett, 
/    E.  Bowen. 

Leicester  Union  Infirmary. — L.  M.  Fudge. 

Liverpool  Maternity  Hospital. — L.  Alderdice, 
M.  A.  Bodey,  F.  Chadwick,  L.  Cragg,  F.  A.  Ind, 
L.  V.  Johnston,  A.  Jones,  A.  D.  Kinghorn,  M.  D. 
Macdonald,  S.  G.  Newman,  E.  O'Callaghan,  B.  L. 
Rogers,  M.  A.  Schoapper,  M.  A.  Wadsworth, 
M.  Yorke. 
''Liverpool  Workhouse  Hospital. — D.  Girdlestone. 

Manchester  :  St.  Mary's  Hospitals. — A.  M. 
Barnes,  E.  A.  Billington,  M.  Brocklehurst,  E.  A. 
Bruce,  F.  J.  Burgess,  H.  Clegg,  E.  Cooper,  S.  S. 
Dixon,  D.  C.  Jackson,  M.  Lewis,  F.  S.  Mitchell, 

E.  Shelmerdine,  S.  A.  Watt,  E.  T.  Wignall. 
Northampton,   Q.V.N.I.—G.  A.   Morrell,   S.   E. 

Preece,  A.  Weall. 

North  Bierley  Union  Infirmary. — ^M.  Ash,  E.  Lee. 
Nottingham  Workhouse  Infirmary. — F.  T.  Ford, 

F.  Reeves,'  B.  C.  Roberts. 

Portsmouth  Military  Families  Hospital. — ^M. 
Russell. 

Portsmouth  Workhouse  Infirmary. — E.  M.  Brown. 

Preston  Union  Workhouse. — M.  Murray. 

Staffs  Training  Home  for  Nurses- — M.  E. 
Hughes,  M.  E.  Kirkby,  H.  J.  Mackenzie,  M.  Mill- 
ward,  E.  M.  Pile,  A.  F.  Snedden 

Sheffield,  Jessop  Hospital. —  M.  D.  Eastburn, 
S.  Shiliitlo,  F.  A.  Shuker,  E.  Thomas 

Sheffield  Union  Hospital. — E.  Fleming. 

Stoke-on-Trent  Umon-  Hospital. — E  Hulme, 
A.  Taylor. 

Wallsall  Union  Workhouse. — ^M.  M.  Mason, 
E.  Riley. 

West  Derby  Union  Infirmary,  Walton. — ^A. 
Clayton,  E.  Dunn,  F.  Dyke. 

West  Riding  Nursing  Association. — M.  E.  Lee, 
I.  Ross. 

Wilts  Nursing  Association. — E.  A.  Shaw. 

Worcester  County  Nursing  Association. — S 
Davies,  Z.  V.  Hamilton,  A.  Harris. 

York    Maternity    Hospital. — A.    Hare,    H. 
Wilson, 

York  Union  Hospital.— M.  Garbutt. 


Wales. 

Cardiff  Q.V.J. N.I. — E.  Chapman,  E.  Evans, 
K.  N.  Jones,  R.  Rowles. 

Merthyr  Tydfil  Union  Infirmary. — ^M.  Walters. 

Monmouthshire  Training  Centre. — ^A.  E.  Comley, 
E.  M.  Evans,  M.  M.  Gale,  C.  Harrison,  A.  Hughes, 
E.  A.  Morgan,  M.  Peters,  M.  Ware,  M.  Watkins, 
S.  J.  Winston. 

Scotland. 

Dundee  Maternity  Hospital. — A.  E.  Davison, 
T.  R.  Mullan. 

Govan  Nurses'  Home. — ^M.  Costella,  A.  A.  Ions, 
J.  B.  Leishman,  M.  Stoddart. 

Glasgow  Royal  Maternity  Hospital. — B.  Melville. 

Ireland. 

Belfast  Union  Maternity  Hospital. — R.  Beattie, 
M.  Frazer,  F.  Thompson,  J.  A.  Wiley. 

Dublin  Rotunda  Hospital. — ^M.  A.  E.  Andrew, 
M.  E.  Delahunty,  H.  M.  Dixon,  E.  M.  Gorman, 
E.  J.  Morgan,  B.  Mort. 

Dublin  :   Coombe  Hospital. — E.  M.Jaques. 

Private  Tuition. 
S.  O.  AUaway,  A.  J.  Allison,  C.  H.  Chappell, 
E.  Coyne,  L.  Cross,  F.  Flint,  E.  W.  Jones,  M.  G. 
Maries,  E.  M.  Oxle^.,  J.  G.  Raisbeck,  M.  E.  Render, 
M.  J.  Roberts,  S.  E.  L.  Stowe,  A.  Ward,  E.  A. 
Whitworth,  L.  Wilkinson. 

Private  Tuition  and  Institutions. 

Kensington  Union  Infirmary. — B.  C.  Babbage. 

General  Lying-in  Hospital. — ^M.  G.  Bennett, 
A.  Heatley,  E.  E.  Hubbard,  M.  J.  Kinsey,  M.  C. 
Stokes. 

Mansfield  Union  Workhouse. — ^W.  Burkinshaw. 

Royal  Derbyshire  Nursing  Association. — ^M.  Cope, 
L.  M.  T.  Fearn. 

Essex  County  Nursing  Association. — ^M.  C." 
Crown,  E.  F.  Davis,  E.  Rodgers. 

St.  Mary's  Hospital,  Manchester. — ^M.  Davis. 

Fulham  Midwifery  School. — G.  L.  Dobinson, 
A.  E.  Pellow,  W.  E.  Turner. 

Nottingham  Workhouse  Infirmary. — ^V.  G.  Gill- 
more. 

Stoke-on-Trent  Union  Workhouse  Hospital. — " 
M.  E.  Grundy,  E.  Withington. 

Birmingham  Maternity  Hospital. — E.  B.  Guest, 
C.  Harris. 

Jewish  Maternity  District  Nursing  Society. — 
E.  Hyams,  E.  A.  Kent. 

Elizabeth  Garrett  Anderson  Hospital. — ^M.  J. 
McNeil. 

East  End  Mothers'  Home. — G.  E.  Parry. 

Croydon  Union  Infirmary. — B.  H.  Pickering. 

Liverpool  Maternity  Hospital. — ^M.  E.  Russell, 
L.  E.  Di  Gennaro. 


M. 


M. 


An  interesting  course  of  Elementary  Lectures  on 
Infant  Care,  to  be  held  at  i,  Wimpole  Street,  W., 
from  5.30  to  6.30  p.m.  On  Mondays  from  September 
30th  to  December  i6th,  has  been  organised  by  the 
National  Association  for  the  Prevention  of  Infant 
Mortality. 


THE 

WITH  WHICH  IS  INCORPORATED 


iBic; 


EDITED  BY  MRS  BEDFORD  FENWICK 


No.  1,589. 


SATURDAY,    SEPTEMBER    14,    1918. 


Vol.    LXl 


EDITORIAL. 


THE    WAR    COUNCIL    SHOULD     TAKE 
ACTION. 

It  will  surprise  none  of  those  who,  at  the 
outbreak  of  the  war  in  1914,  desired  to  see 
the  nursing  service  of  this  country  put  upon 
a  war  footing  as  a  whole,  that  there  is  at 
the  present  time  a  very  serious  shortage  of 
nurses  and  probationers  in  our  civil  hospitals. 
If  thousands  of  nurses  are  taken  out  of 
these  institutions  to  care  for  the  sick  and 
wounded  it  is  evident  that  there  will  be 
many  vacancies  on  the  nursing  staffs  of 
such  hospitals.  But  because  the  best  must 
be  available  for  our  sick  and  wounded 
sailors,  soldiers,  and  airmen,  there  is  no 
valid  reason  why  a  comprehensive  survey 
should  not  have  been  taken,  with  the  object 
of  filling  these  vacancies,  or  that  it  should 
not  be  taken  even  now  in  this  fifth  year 
of  the  war — late  as  it  is  to  begin  work 
that  should  have  been  inaugurated  as  soon 
as  war  was  declared,  in  an  international 
conflict  which  was  bound  to  affect  the 
furthermost  ends  of  the  world. 

Had  recruits  been  calle'd  for  for  our 
civil  hospitals  in  the  early  days  of  the  war, 
had  the  untrained  enthusiasm  of  many 
ardent  young  women  who  desired  to  nurse 
our  wounded  soldiers  been  directed  to 
hospital  training  as  a  means  to  attain  this 
end,  the  probationary  service  in  our  civil 
hospital  wards  would  not  have  been  starved. 
As  it  was,  short  courses  of  a  few  weeks' 
instruction  were  inaugurated,  and  many 
young  women  were  permitted  at  their 
conclusion  to  proceed  on  active  service, 
whilst  numbers  of  fully  qualified  nurses 
were  turned  down. 

The  National  Council  of  Trained  Nurses 
of  Great  Britain  and  Ireland  presented  a 
Memorandum  on  the  Care  of  the  Sick  and 
Wounded    to  the   Director-General   of   the 


Army  Medical  Service  in  December,  1914, 
prepared  by  the  President,  Mrs.  Bedford 
Fenwick,  which  advocated  the  formation 
of  an  expert  committee  "  representative  of 
the  various  departments  which  are  now 
engaged  in  organising  the  nursing  of  sick 
and  wounded  soldiers,  and  including  inde- 
pendent experts  on  military  nursing."  Had 
such  a  committee  been  formed  one  of  its 
first  acts  no  doubt  would  have  been  to 
safeguard  the  sources  of  supply  of  military 
nurses,  to  see  that  the  needs  of  the  civil 
hospitals  were  met,  as  far  as  possible, 
while  providing  for  the  emergencies  caused 
by  the  war.  This  statesmanlike  course 
was  not  pursued,  nor  was  it  endorsed  by 
the  heads  of  the  military  services,  and 
organisation  proceeded  in  water-tight  com- 
partments. Unfortunately  none  of  the 
heads  of  those  departments  had  attended 
international  conferences  of  nurses,  or 
learnt  what  their  colleagues  of  other 
nations  were  doing,  and  their  outlook  was 
very  restricted. 

One  of  the  first  acts  of  the  nursing  pro- 
fession in  the  United  States  of  America  on 
the  entry  of  that  country  into  the  war  has 
been  the  formation  of  an  expert  committee 
composed  of  the  heads  of  the  naval  and 
military  nursing  departments  as  well  as 
other  leaders  of  the  nursing  profession,  with 
the  result  that  attention  is  being  directed 
to  nursing  as  a  field  for  national  service, 
and  25,000  young  women  are  asked  for  to 
join  the  United  States  Student  Nurse 
Reserve,  and  thus  to  be  ready,  as  trained 
nurses  are  drafted  to  the  front,  to  fill  up  the 
ranks  by  entering  the  training  schools  as 
student  nurses  for  the  full  term  course. 

This  country  might  have  led  the  way.  It 
is  now  too  late.  But  it  is  not  too  late  to 
follow  where  the  United  States  of  America 
have